Individual
CHRISTOPHER JOSEPH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
310 W TAFT AVE, SAPULPA, OK 74066-5437
(918) 224-6012
Mailing address
1128 S QUINCY AVE APT A, TULSA, OK 74120-5290
(918) 829-0033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2969
OK
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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