Individual
DR. ALICIA RENE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
600 S WYCOMBE AVE, YEADON, PA 19050-2835
(610) 626-8065
Mailing address
142 UPPER LAKEVIEW DR, HAWLEY, PA 18428-4025
(516) 236-1594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015897
PA
225100000X
Physical Therapist
17515
MA
225100000X
Physical Therapist
4142
AZ
225100000X
Physical Therapist
4541
OR
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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