| NPI | 1104901826 |
|---|---|
| Former Name | MAUREEN ANNE KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070015552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 6731) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-10-04 |