Individual provider · Type 1 NPI

Justin Leif Kennerly, PT

Pediatric Physical Therapist · Los Angeles, CA

NPI number 1699809848 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Call (323) 669-2118 Map

Fax (323) 663-0093

Mailing address

2346 Glenrose Ave
Altadena, CA 91001-5502

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X25910 (CA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1699809848

Justin Leif Kennerly, PT's National Provider Identifier is 1699809848, issued on Mar 16, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.