Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 11437 | CA |
Y | 2251E1300X | Electrophysiology, Clinical | 41 | CA |
N | 2251S0007X | Physical Therapist - Sports |
NPI | 1477524635 |
---|---|
Provider Name | Edward J. Kane |
First Address | San Marcos, CA 92069-1701 |
Second Address | San Marcos, CA 92069-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 19/08/2009 |