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Individual
MICHAEL MCKENNY
Active
Individual
MICHAEL MCKENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10003530
DE
225100000X
Physical Therapist
PT024505
PA
Other
Enumeration date
11/10/2015
Last updated
06/30/2016
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