Provider Demographics
NPI:1194991554
Name:MCKEOWN, JAMES WAYNE
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WAYNE
Last Name:MCKEOWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 DRESHER RD
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2220
Mailing Address - Country:US
Mailing Address - Phone:215-659-2955
Mailing Address - Fax:
Practice Address - Street 1:721 DRESHER RD
Practice Address - Street 2:SUITE 2100
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2220
Practice Address - Country:US
Practice Address - Phone:215-659-2955
Practice Address - Fax:215-659-0123
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0188272251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic