KENYA LOUISE LAKES

CONNERSVILLE, IN
NPI1952739658
Former NameKENYA LOUISE FITZGERALD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004517A)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
-- KENYA LOUISE LAKES
1029 E 5TH ST
CONNERSVILLE, IN 47331-3301
Phone number: 765-825-0543
Mailing Address
-- KENYA LOUISE LAKES
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 855-492-8878