Individual
LORI KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 W CUMMINGS PARK, SUITE 3950, WOBURN, MA 01801-6519
(781) 933-8800
Mailing address
162 REVILO AVE, SHIRLEY, NY 11967-1726
(631) 399-9465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003686
NY
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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