Individual
KAREN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8777 SKYWAY, PARADISE, CA 95969-2110
(530) 872-3200
Mailing address
13846 S PARK DR, MAGALIA, CA 95954-9598
(530) 873-4085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT878
CA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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