Individual
DR. JOHN R KOHUTANYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1719 MAIN ST, LAKE COMO, NJ 07719-3097
(732) 894-9200
(732) 894-9202
Mailing address
1719 MAIN ST, LAKE COMO, NJ 07719-3097
(732) 894-9200
(732) 894-9202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA15030300
NJ
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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