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Individual
MR. JOHN VINCENT AMODIO
Active
Individual
MR. JOHN VINCENT AMODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021392
NY
225100000X
Physical Therapist
40QA01313200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01313200
NJ LICENSE
NJ
Enumeration date
11/30/2006
Last updated
10/10/2017
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