Maritess Kennedy
Physical Therapist - Geriatrics
16705 Prairie Fawn Ct
San Diego
, California 92127-3408
Maritess Kennedy
Physical Therapist - Geriatrics
16705 Prairie Fawn Ct
San Diego
, California 92127-3408
(858) 524-6644
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Maritess Kennedy
- 16705 Prairie Fawn Ct
- San Diego, CA
- Zip : 92127-3408
- Phone : (858) 524-6644
Second Address
- Maritess Kennedy
- 16705 Prairie Fawn Ct
- San Diego, CA
- Zip : 92127-3408
- Phone : (858) 524-6644
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | AT4198 | CA |
National Provider Identifier
| NPI | 1164810586 |
|---|---|
| Provider Name | Maritess Kennedy |
| First Address | San Diego, CA 92127-3408 |
| Second Address | San Diego, CA 92127-3408 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.