Kerry Lynn Mccole PT

NPI 1144347634 - Physical Therapist - 225100000X

NPI Details
NPI 1144347634
Gender Female
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1199 PLEASANT VALLEY WAY
WEST ORANGE NJ, 07052-1424, US
Phone (973) 731-3600
Fax
Business Location
92 SAWYER AVE
STATEN ISLAND NY, 10314-2327, US
Phone (718) 524-5983
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number QA011657
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According to our database, Mrs. Kerry Lynn Mccole PT NPI is 1144347634, taxonomy code is 225100000X and license number is QA011657, license state is located at New Jersey. Kerry Lynn Mccole PT physically located at 1199 Pleasant Valley Way, West Orange NJ, 07052-1424. NPI Number Kerry Lynn Mccole PT has the Individual type.

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1144347634 NPI number is provided on an as is basis without warranty of any kind. 1144347634 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Lynn Mccole PT are for informational purposes only.