NPI | 1275012973 |
---|---|
Former Name | KENDALL D KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5573) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1307929) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2025-07-23 |