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1861036329
JACOB THOMAS KENNEDY
METAIRIE, LA
NPI
1861036329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A10437)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
JACOB THOMAS KENNEDY PTA
4921 AIRLINE DR
METAIRIE, LA 70001-5664
Phone number: 504-889-2663
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Mailing Address
JACOB THOMAS KENNEDY PTA
4921 AIRLINE DR
METAIRIE, LA 70001-5664
Phone number:
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