| NPI | 1902381049 |
|---|---|
| Former Name | JANELLE E KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WY PT-1835) |
| 225100000X Physical Therapist (Licence: WA PT60939787) | |
| 225100000X Physical Therapist (Licence: ND 2195) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2022-11-23 |