Daniel Michael Kennedy, PT
NPI #1255687174 in Colton, California
Provider Information
- NPI Number
- 1255687174
- Entity Type
- Individual
- Name
- Daniel Michael Kennedy, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- PT
- Enumeration Date
- Jul 29, 2012
- Last Updated
- Mar 18, 2015
Practice Location
- Address
- 400 N PEPPER AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-1801
- Phone
- (909) 580-3144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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