Individual
EMILY SUE KENCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 RIVER PARK DR STE 404, SACRAMENTO, CA 95815-4524
(916) 567-1244
Mailing address
958 QUARTZ LN, ROSEVILLE, CA 95678-7558
(916) 567-1244
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
83766
CA
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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