Individual
STEVEN DE KENIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
115 COLUMBUS DR STE 300, JERSEY CITY, NJ 07302-3551
(201) 366-1118
(201) 359-3336
Mailing address
115 COLUMBUS DR STE 300, JERSEY CITY, NJ 07302-3551
(201) 366-1118
(201) 359-3336
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00374200
NJ
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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