Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Justin Dwayne Kennemer, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1578031282

Mr. Justin Dwayne Kennemer, OTR/L is a Pediatric Occupational Therapist in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2018.

Licensed in
AR
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

385 Highway 65 N
Conway, AR 72032-3506
Phone: (501) 697-9881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OTR2937 (AR)

Record details

NPI number1578031282
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 12, 2018
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

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