Provider Demographics
NPI:1003112491
Name:KANE, MARGARET ANNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANNE
Last Name:KANE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 505
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-0505
Mailing Address - Country:US
Mailing Address - Phone:856-764-0494
Mailing Address - Fax:
Practice Address - Street 1:1361 FAIRVIEW BLVD
Practice Address - Street 2:STE J
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1473
Practice Address - Country:US
Practice Address - Phone:856-764-0494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01362800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist