Individual
BETH ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
9 MULE RD, SUITE E-2, TOMS RIVER, NJ 08755-5043
(732) 473-1666
(732) 473-1601
Mailing address
1 MIRTA CT, JACKSON, NJ 08527-2446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01159300
NJ
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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