Provider Demographics
NPI:1336197888
Name:KENSICKI, JAMES M JR (MSPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:KENSICKI
Suffix:JR
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:314 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3408
Mailing Address - Country:US
Mailing Address - Phone:215-230-8100
Mailing Address - Fax:215-230-8892
Practice Address - Street 1:314 N BROAD ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3408
Practice Address - Country:US
Practice Address - Phone:215-230-8100
Practice Address - Fax:215-230-8892
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT016650225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist