Individual
ROBERTA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 SINGING HILLS BLVD, SIOUX CITY, IA 51106-5127
(712) 274-4250
(712) 274-4260
Mailing address
PO BOX 328, SIOUX CITY, IA 51102-0328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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