Mckenna, Devon William

Mckenna, Devon William is an individual health care provider with primary practice located at 622 Eagle Rock Ave , West Orange NJ 07052-2994. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Mckenna, Devon William can be contacted via phone (973) 669-0078.

Contact Information

Primary practice address
622 Eagle Rock Ave West Orange NJ 07052-2994
Phone: (973) 669-0078
Fax: (973) 669-1113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 40QB00397200 New Jersey

Profile Details

NPI number 1386369189
LBN Legal business name Mckenna, Devon William
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2022
Last updated Oct 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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