Doctor Name: | MR. CHRISTOPHER DALE KENNEDY |
NPI Number: | 1922134964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 025693 |
Business Practice Address: | 21 Peekskill Hollow Rd Putnam Valley, NY - 105793248 |
Business Phone Number: | 8455283133 |
Business Fax Number: | 8455280463 |
Mailing Address: | 594 Route 52, CARMEL |
State: | NY |
Postal Code: | 105126060 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 10/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025693 |
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 |