KENDRICK WIDEMON
Physical Therapist
Active
Individual
NPI: 1942630116
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 1172043 (TX) |
Frequently Asked Questions
NPI 1942630116 is the National Provider Identifier for KENDRICK WIDEMON, a Physical Therapist provider located in Keller, TX. This NPI was enumerated on November 25, 2013.
KENDRICK WIDEMON practices at 5728 MOON FLOWER CT, Keller, TX 76244.
Quick Facts
- NPI
- 1942630116
- Type
- Individual
- Enumerated
- Nov 25, 2013
- Last Updated
- Nov 25, 2013
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