Victor D Kennel, PT Valid NPI
Individual provider · Physical Therapist · Longview, TX
- NPI
- 1730170309
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 1060564 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-11-02
- Last updated
- 2019-09-24
Practice location
707 Hollybrook Dr, Suite 500
Longview, TX 75605-2410
(903) 291-6113