Individual
MS. SARA LYNN KENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1902 MEAD AVE., SHEBOYGAN, WI 53081
(920) 458-8333
(920) 458-6837
Mailing address
9301 N 76TH ST, MILWAUKEE, WI 53223-1074
(414) 357-5105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1642-019
WI
Other
Enumeration date
01/27/2010
Last updated
01/06/2013
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