| Doctor Name: | MR. JASON KANE VANNOY |
| NPI Number: | 1770700213 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 40QA00745300 |
| Business Practice Address: | 1050 Wall St W Ste 200 Lyndhurst, NJ - 070713615 |
| Business Phone Number: | 2015312500 |
| Business Fax Number: | |
| Mailing Address: | 333 River St Apt 603, HOBOKEN |
| State: | NJ |
| Postal Code: | 070305862 |
| Phone Number: | 2016833795 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00745300 |
| 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 |