Individual
ANN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
746 S MAIN AVE STE D, FALLBROOK, CA 92028-3352
(760) 728-8999
(760) 728-0821
Mailing address
746 S MAIN AVE STE D, FALLBROOK, CA 92028-3352
(760) 728-8999
(760) 728-0821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10146
CA
2255A2300X
Athletic Trainer
7158090108
CA
225700000X
Massage Therapist
18340
CA
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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