Individual
JOHANNAH ALICANTE MAHUSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20 SUMMIT ST, WEST ORANGE, NJ 07052-1501
(973) 736-2000
Mailing address
28 CROSSGATE RD, APT.1, JERSEY CITY, NJ 07305-1206
(551) 689-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01080500
NJ
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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