Individual
JAMES MARK KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
457 JACK MARTIN BLVD, BRICK, NJ 08724-7776
(732) 840-1866
(732) 840-1089
Mailing address
457 JACK MARTIN BLVD, BRICK, NJ 08724-7776
(732) 840-1866
(732) 840-1089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01032000
NJ
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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