Evan Johnson D.P.T.

NPI 1063424802 - Physical Therapist - 225100000X

NPI Details
NPI 1063424802
Gender Male
Enumeration Date 08/12/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
710 W 168TH ST
SPINE CENTER, NI-516
NEW YORK NY, 10032-3726, US
Phone (212) 305-9625
Fax (212) 342-1540
Business Location
710 W 168TH ST
SPINE CENTER, NI-516
NEW YORK NY, 10032-3726, US
Phone (212) 305-9625
Fax (212) 342-1540
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number 40QAO673200
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According to our database, Dr. Evan Johnson D.P.T. NPI is 1063424802, taxonomy code is 225100000X and license number is 40QAO673200, license state is located at New Jersey. Evan Johnson D.P.T. physically located at 710 W 168th St, New York NY, 10032-3726. NPI Number Evan Johnson D.P.T. has the Individual type.

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1063424802 NPI number is provided on an as is basis without warranty of any kind. 1063424802 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Johnson D.P.T. are for informational purposes only.