Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT025792 | PA |
NPI | 1184157893 |
---|---|
Provider Name | Dr. Adam Ross Kaplan |
First Address | Philadelphia, PA 19130-3909 |
Second Address | Cherry Hill, NJ 08003-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2017 |
Last Update Date | 10/04/2017 |