Individual
EVAN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3165
(860) 769-6690
Mailing address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3165
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011060
CT
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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