Individual
KENAN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 MAIN ST, COLUMBUS JUNCTION, IA 52738-1028
(319) 728-4441
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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