Individual
MR. GLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
231 WARNER ST, TOMS RIVER, NJ 08755-1028
(732) 942-0800
Mailing address
231 WARNER ST, TOMS RIVER, NJ 08755-1028
(732) 942-0800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3876
MA
225200000X
Physical Therapy Assistant
Primary
40QB00245400
NJ
Other
Enumeration date
11/28/2015
Last updated
11/28/2015
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