NPI 1417683574

Steven de Kenipp, PTA

Practitioner Physical Therapy Assistant Jersey City, NJ

Practice location

Address: 115 Columbus Dr STE 300, Jersey City, NJ 07302-3551
Phone: (201) 366-1118
Fax: (201) 359-3336

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00374200 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1417683574
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2022
Record last updated: 29 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.