Individual
JOAN MARGARET KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
224D CORNWALL ST NW, SUITE 200, LEESBURG, VA 20176-2700
(703) 443-2223
(703) 443-2690
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202642
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972621068
—
VA
01
—
P00948393
RR MEDICARE
VA
Enumeration date
03/27/2007
Last updated
04/30/2012
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