Individual
MR. JOHN J FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3131 PRINCETON PIKE, BLDG 4, SUITE 100, LAWRENCEVILLE, NJ 08648-2201
(609) 896-4128
(609) 896-0962
Mailing address
790 REMINGTON BLVD STE 100, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00761900
NJ
225100000X
Physical Therapist
PT011973L
PA
Other
Enumeration date
07/26/2006
Last updated
06/19/2024
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