Individual
JOHN LOUIS FURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
PRINCETON UNIVERSITY DILLON GYM A30, PRINCETON, NJ 08544-0001
(609) 258-3518
(609) 258-7045
Mailing address
16 JACKIE DR, LAWRENCEVILLE, NJ 08648-2108
(609) 512-1559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00690400
NJ
2255A2300X
Athletic Trainer
25MT00072300
NJ
Other
Enumeration date
07/12/2006
Last updated
02/04/2014
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