| Doctor Name: | MAUREEN KENNEDY |
| NPI Number: | 1124137781 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 10256 S Us Highway 1 Port St Lucie, FL - 349525615 |
| Business Phone Number: | 7723379440 |
| Business Fax Number: | |
| Mailing Address: | 1626 Nw Bay Tree Cir, STUART |
| State: | FL |
| Postal Code: | 349949406 |
| Phone Number: | 7722884950 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |