Individual
JOHANNA MARIE BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 ROUTE 70 STE 2C, MEDFORD, NJ 08055-2371
(609) 953-7227
(609) 953-2188
Mailing address
128 ROUTE 70 # SUI642C, MEDFORD, NJ 08055-2371
(609) 953-7227
(609) 953-2188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02031800
NJ
Other
Enumeration date
08/18/2021
Last updated
02/25/2025
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