Individual
MRS. SUZANNE W. KENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
VAMC, 1FREEDOM WAY, AUGUSTA, GA 30904
(706) 733-0188
Mailing address
762 WINYAH DR, NORTH AUGUSTA, SC 29841-2029
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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