Individual
BRIDGET KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 BALI HAI RD, MECHANICSBURG, PA 17050-1901
(717) 889-6436
Mailing address
72 BALI HAI RD, MECHANICSBURG, PA 17050-1901
(717) 889-6436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE105423
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TE1005423
TE1005423
PA
Enumeration date
02/27/2019
Last updated
02/27/2019
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