Individual
MR. JOHN CARMEN IANNELLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1165 N TUCKAHOE RD, WILLIAMSTOWN, NJ 08094-3459
(856) 237-7467
(856) 716-6525
Mailing address
1165 N TUCKAHOE RD, WILLIAMSTOWN, NJ 08094-3459
(856) 237-7467
(856) 716-6525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01800800
NJ
225100000X
Physical Therapist
J1-0003262
DE
Other
Enumeration date
01/15/2015
Last updated
11/30/2023
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