Individual
MRS. JESSICA JEANETTE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 926-7204
(803) 926-7206
Mailing address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5959
(803) 926-7204
(803) 926-7206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5757
SC
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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