Individual
JORDAN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-4449
Mailing address
2030 SYCAMORE ST, HADDON HEIGHTS, NJ 08035-1006
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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