Doctor Name: | MR. JOHN C MCKENZIE |
NPI Number: | 1245248285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA00171100 |
Business Practice Address: | 390 N Broadway Suite 400 Pennsville, NJ - 08070 |
Business Phone Number: | 8566787011 |
Business Fax Number: | 8566782820 |
Mailing Address: | 7 Seeley Rd, BRIDGETON |
State: | NJ |
Postal Code: | 08302 |
Phone Number: | 8562412222 |
Fax Number: | 8562417961 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00171100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |