Individual
KATHLEEN ANN FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4233
Mailing address
413 AZURE LN, GLASSBORO, NJ 08028-2860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00190600
NJ
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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