Individual
MR. JAYVINTH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
(732) 660-6201
Mailing address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
(732) 660-6201
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
036353
NY
Other
Enumeration date
06/18/2013
Last updated
12/02/2019
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