Individual
SEAERA SUEANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 695-8920
Mailing address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 695-8920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PENDING
MI
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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