Individual
MS. EVA JOHANNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
61 WEST JIMMIE LEEDS ROAD, POMONA, NJ 08240
(609) 748-5400
Mailing address
1525 JOHN ADAMS CT, MAYS LANDING, NJ 08330-2845
(609) 909-1862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00522800
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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