Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA01362800 | NJ |
NPI | 1003112491 |
---|---|
Provider Name | Dr. Margaret Anne Kane |
First Address | Moorestown, NJ 08057-0505 |
Second Address | Delran, NJ 08075-1473 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2011 |
Last Update Date | 01/02/2011 |