Individual
BARBARA ANN KENAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
1810 4TH ST SW STE 103A, WAVERLY, IA 50677-4389
(319) 352-6400
Mailing address
1810 4TH ST SW STE 103A, WAVERLY, IA 50677-4389
(319) 352-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
521
IA
2251G0304X
Geriatric Physical Therapist
521
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665992
—
IA
Enumeration date
10/16/2009
Last updated
10/19/2009
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