| NPI | 1336254952 |
|---|---|
| Former Name | VALERIE JO KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 25850) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 25850) |
| 225100000X Physical Therapist (Licence: VA 2305204589) | |
| 225100000X Physical Therapist (Licence: HI 2758) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-10-10 |