Individual
JACLYN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 E MIDLAND RD, AUBURN, MI 48611-9780
(989) 607-5686
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019934
MI
Other
Enumeration date
02/16/2021
Last updated
06/06/2024
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