Individual
KATHRYN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4127
(904) 647-4284
Mailing address
1045 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4127
(904) 647-4284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26206
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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