Individual provider · Type 1 NPI

Fredrick Donial Kennedy Jr., PTA

Physical Therapy Assistant · San Diego, CA

NPI number 1245072784 Active

Practice location

2650 Camino Del Rio N Ste 201
San Diego, CA 92108-1631

Call (619) 340-2096 Map

Mailing address

6888 Friars Rd Apt 219
San Diego, CA 92108-1168

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X53236 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1245072784

Fredrick Donial Kennedy Jr., PTA's National Provider Identifier is 1245072784, issued on Jun 6, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 6, 2024.