Individual
MR. KEVIN OTIS JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
823 W PARK AVE # 117, OCEAN, NJ 07712-7205
(848) 207-1643
Mailing address
823 W PARK AVE # 117, OCEAN, NJ 07712-7205
(848) 207-1643
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00271000
NJ
Other
Enumeration date
08/16/2011
Last updated
02/23/2015
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