Individual
DOMINIQUE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 MYERS DR STE 201, MULLICA HILL, NJ 08062-9515
(856) 502-3300
(856) 294-9241
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02386300
NJ
225100000X
Physical Therapist
PT033883
PA
Other
Enumeration date
12/03/2025
Last updated
02/23/2026
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