Individual
DARRELLE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5659 CREEKWOOD CIR, SARASOTA, FL 34233-1532
(910) 231-6146
Mailing address
5659 CREEKWOOD CIR, SARASOTA, FL 34233-1532
(910) 231-6146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6881
NC
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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