Individual
BETH KENNAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 E BROADWAY ST, WINNSBORO, TX 75494-2604
(903) 342-6790
Mailing address
PO BOX 625, DAINGERFIELD, TX 75638-0625
(903) 806-4594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2038545
TX
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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