Individual
DYLAN JAMES KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1045 RIVERSIDE AVE STE 190, JACKSONVILLE, FL 32204-4189
(904) 647-4284
Mailing address
1300 SHETTER AVE APT 8306, JACKSONVILLE BEACH, FL 32250-3473
(845) 499-3057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02126800
NJ
225100000X
Physical Therapist
Primary
PT39449
FL
Other
Enumeration date
09/13/2022
Last updated
10/01/2022
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