| Doctor Name: | MRS. JENNA JOY KENNEDY |
| NPI Number: | 1437574175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 037379 |
| Business Practice Address: | 77 Medford Ave Patchogue, NY - 117721281 |
| Business Phone Number: | 6317581910 |
| Business Fax Number: | 6317582371 |
| Mailing Address: | 8 Morgan Ln, BAYPORT |
| State: | NY |
| Postal Code: | 117052230 |
| Phone Number: | 6318383316 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2014 |
| NPI Last Update Date: | 01/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 037379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |