Organization
KERNAN MANUAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA JEAN KELLY KERNAN PT (PHYSICAL THERAPIST/OWNER)
(480) 524-0536
Entity
Organization
Contact information
Practice address
3819 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5234
(480) 524-0536
Mailing address
332 E PIERCE ST, TEMPE, AZ 85281-1041
(480) 524-0536
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6280
AZ
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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