Individual
AUDREY A KUENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GLEN CREEK RD NW, SALEM, OR 97304-3058
(503) 990-8627
(503) 990-8630
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8596
OR
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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