Individual
MS. SUSAN E KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11 WOODLAND ROAD, MADISON, CT 06443
(203) 245-1881
(203) 421-8388
Mailing address
17 CANDLEWOOD LANE, MADISON, CT 06443
(203) 530-1153
(203) 421-8388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003246
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217701
ORTHONET
CT
01
—
4346656
AETNA
CT
01
—
P804449
OXFORD
CT
Enumeration date
01/12/2007
Last updated
07/08/2007
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