Provider Demographics
NPI:1619403110
Name:KINNEY, ARLENE VANESSA (OTR/L MED)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:VANESSA
Last Name:KINNEY
Suffix:
Gender:F
Credentials:OTR/L MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PARKVIEW DR APT 615
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-8903
Mailing Address - Country:US
Mailing Address - Phone:786-493-6266
Mailing Address - Fax:
Practice Address - Street 1:800 PARKVIEW DR APT 615
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-8903
Practice Address - Country:US
Practice Address - Phone:786-493-6266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT4950225XG0600X, 225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology