Individual
SARAH MARIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6080 SOUTHWEST BLVD, BENBROOK, TX 76109
(817) 731-9331
(817) 731-9882
Mailing address
6080 SOUTHWEST BLVD, COOPER & BUSH PHYSICAL THERAPY, BENBROOK, TX 76109
(817) 731-9331
(817) 731-9882
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2067489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067489
TEXAS LICENSE
TX
Enumeration date
09/19/2008
Last updated
09/22/2008
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