Individual
KENDALL CERCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6003 SE 136TH AVE, PORTLAND, OR 97236-4567
(971) 978-1268
Mailing address
1411 NW QUIMBY ST APT 312, PORTLAND, OR 97209-4090
(330) 671-5800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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