Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 09102 | LA |
NPI | 1376138040 |
---|---|
Provider Name | Erin Kennedy |
First Address | Metairie, LA 70005-2825 |
Second Address | Metairie, LA 70005-2825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2021 |
Last Update Date | 04/03/2021 |