Individual
CECELIA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
675 WHIPPOORWILL LN, WADSWORTH, OH 44281-7710
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01878900
NJ
225100000X
Physical Therapist
PT018105
OH
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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