Individual
DR. JOHN EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
523 FELLOWSHIP RD STE 290, MOUNT LAUREL, NJ 08054-3418
(856) 424-5552
(856) 424-5559
Mailing address
523 FELLOWSHIP RD STE 290, MOUNT LAUREL, NJ 08054-3418
(856) 424-5552
(856) 424-5559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01477000
NJ
Other
Enumeration date
02/26/2013
Last updated
07/07/2022
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