Individual
ELIZABETH MARIE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1323586
TX
2251P0200X
Pediatric Physical Therapist
1323586
TX
Other
Enumeration date
08/28/2019
Last updated
08/17/2021
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