Individual
MRS. JOHANNA MARCELA KARDOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
801 TILTON RD, NORTHFIELD, NJ 08225-1265
(609) 645-0505
(609) 641-3532
Mailing address
181 SANTA CRUZ RD, TUCKERTON, NJ 08087-4251
(908) 279-4446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01421900
NJ
225100000X
Physical Therapist
J1-0002387
DE
225100000X
Physical Therapist
PT019624
PA
Other
Enumeration date
10/29/2008
Last updated
08/09/2017
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