Individual
CARMEN ROSA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9057 GARLAND AVE, SURFSIDE, FL 33154-3217
(786) 316-8826
Mailing address
9057 GARLAND AVE, SURFSIDE, FL 33154-3217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9747
FL
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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