Doctor Name: | KIMBERLY THORNE |
NPI Number: | 1104252386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA01383900 |
Business Practice Address: | 210 North Ave E Cranford, NJ - 070162491 |
Business Phone Number: | 9082760237 |
Business Fax Number: | 9082765692 |
Mailing Address: | 210 North Ave E, CRANFORD |
State: | NJ |
Postal Code: | 070162491 |
Phone Number: | 9082760237 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 40QA01383900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |