Individual
CANDACE R KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
2013 WELLS BRANCH PKWY, AUSTIN, TX 78728
(918) 781-2536
Mailing address
2013 WELLS BRANCH PKWY, AUSTIN, TX 78728-6900
(918) 781-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3103
OK
Other
Enumeration date
08/09/2006
Last updated
10/31/2011
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