Individual
MS. JUMAAH INGRAM JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1616 WALNUT ST, SUITE 210, PHILADELPHIA, PA 19103-5313
(215) 545-8717
(215) 545-9355
Mailing address
420 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1568
(215) 629-1270
(215) 629-5531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT017980
PA
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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