Individual
JODY S MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
117 BENNOCH RD, ORONO, ME 04473-3620
(207) 866-4914
Mailing address
98 FOUNTAIN ST, BANGOR, ME 04401-3848
(207) 852-8390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1326
ME
Other
Enumeration date
10/14/2010
Last updated
02/25/2014
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