Individual
MR. JASON KANE VANNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1050 WALL ST W STE 200, LYNDHURST, NJ 07071-3615
(201) 531-2500
Mailing address
333 RIVER ST APT 603, HOBOKEN, NJ 07030-5862
(201) 683-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00745300
NJ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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