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Individual

DEBRA KENNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2599 VENETIAN LN, ELGIN, IL 60124-4325
(224) 325-0690
Mailing address
2599 VENETIAN LN, ELGIN, IL 60124-4325
(224) 325-0690

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003424
IL

Other

Enumeration date
04/23/2019
Last updated
04/23/2019
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