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NPI Code Detail

MEDICARE: KATHLEEN A DOYLE-ELMER PT, DPT

MEDICARE: KATHLEEN A DOYLE-ELMER PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01384300NJ

General Provider Information

NPI Number : 1144527839
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN A DOYLE-ELMER PT, DPT
Provider Business Mailing Address
First Line : PO BOX 1014
Second Line :
City : CLARK
State : NJ
Zip : 07066-1014
Country : US
Telephone Number : 732-855-9751
Fax Number : 732-855-9755
Provider Business Practice Location Address
First Line : 3276 WASHINGTON RD
Second Line :
City : PARLIN
State : NJ
Zip : 08859-1676
Country : US
Telephone Number : 732-238-8484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2011
Last Update Date : 01/15/2015

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