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NPI Code Detail

MEDICARE: MRS. LAURA KENNEDY-RYNNE DPT

MEDICARE: MRS. LAURA KENNEDY-RYNNE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT024562PA

General Provider Information

NPI Number : 1780060681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA KENNEDY-RYNNE DPT
Provider Business Mailing Address
First Line : 120 W GERMANTOWN PIKE
Second Line : SUITE 100
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1420
Country : US
Telephone Number : 610-270-0370
Fax Number : 610-270-0374
Provider Business Practice Location Address
First Line : 1175 LANCASTER AVE
Second Line : FIRST FLOOR
City : BERWYN
State : PA
Zip : 19312-1297
Country : US
Telephone Number : 610-651-8282
Fax Number : 610-651-8213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 08/03/2015

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Directions to “ MRS. LAURA KENNEDY-RYNNE DPT” Practice Location

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