Doctor Name: | MR. JAMES WAYNE MCKEOWN |
NPI Number: | 1194991554 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT018827 |
Business Practice Address: | 721 Dresher Rd Suite 2100 Horsham, PA - 190442220 |
Business Phone Number: | 2156592955 |
Business Fax Number: | 2156590123 |
Mailing Address: | 721 Dresher Rd, Suite 2100 HORSHAM |
State: | PA |
Postal Code: | 190442220 |
Phone Number: | 2156592955 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2008 |
NPI Last Update Date: | 05/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT018827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |