Kelly Kuntzendorf

NPI #1710362124 in Plano, Illinois

Provider Information

NPI Number: 1710362124
Entity Type: Individual
Name: Kelly Kuntzendorf
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 27, 2015
Last Updated: Jul 27, 2015

Practice Location

Address: 4106 CUMMINS ST
City: Plano
State: Illinois
ZIP Code: 60545-2220
Phone: (630) 220-1193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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