FREDRICK DONIAL KENNEDY

SAN DIEGO, CA
NPI1245072784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  53236)
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
FREDRICK DONIAL KENNEDY PTA
2650 CAMINO DEL RIO N STE 201
SAN DIEGO, CA 92108-1631
Phone number: 619-340-2096
Mailing Address
FREDRICK DONIAL KENNEDY PTA
6888 FRIARS RD APT 219
SAN DIEGO, CA 92108-1168
Phone number: 229-299-1533
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