Doctor Name: | CYNTHIA JANE MCKIBBEN |
NPI Number: | 1770607012 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | QA02222 |
Business Practice Address: | 1 David Brainerd Dr Monroe Twp, NJ - 088311927 |
Business Phone Number: | 7325216409 |
Business Fax Number: | 7326051077 |
Mailing Address: | 50 Coleman Pl, RED BANK |
State: | NJ |
Postal Code: | 077016115 |
Phone Number: | 7325309193 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA02222 |
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 |