Individual
KATHLEEN M MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1300 POST RD, SUITE 204, FAIRFIELD, CT 06824-6038
(203) 255-3669
Mailing address
203 BROAD ST, UNIT C2, MILFORD, CT 06460
(203) 876-2000
(203) 876-1545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
007188
CT
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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