| NPI | 1346233863 |
|---|---|
| Former Name | CHRISTIE ANNE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19468) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT008630L) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-05-15 |