Individual
MRS. ELIZABETH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(315) 473-5050
Mailing address
3860 AMBER RD, SYRACUSE, NY 13215-8679
(315) 469-1207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002595-1
NY
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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