Organization
JAMES KISH PT
Active
Other names
Kish Physical Therapy and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARK KISH MSPT (PHYSICAL THERAPIST/OWNER)
(908) 910-8145
Entity
Organization
Contact information
Practice address
602 YELLOWBRICK RD, BRICK, NJ 08724
(908) 910-8145
Mailing address
602 YELLOWBRICK RD, BRICK, NJ 08724-3334
(908) 910-8145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01032000
NJ
Other
Enumeration date
04/17/2018
Last updated
07/23/2018
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