Individual
MRS. MAGEN T KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
317 NORTH ST, WHITE PLAINS, NY 10605-2209
(914) 597-4090
Mailing address
61 ROCKLEDGE RD, UNIT GG, BRONXVILLE, NY 10708-5305
(914) 202-9201
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
026807-1
NY
Other
Enumeration date
10/05/2008
Last updated
10/05/2008
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