Pamela J Kennison, PTA

NPI #1063683225 in Freeport, Illinois

Provider Information

NPI Number: 1063683225
Entity Type: Individual
Name: Pamela J Kennison, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 17, 2008
Last Updated: Mar 17, 2008

Practice Location

Address: 1045 W STEPHENSON ST
City: Freeport
State: Illinois
ZIP Code: 61032-4864
Phone: (815) 599-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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