Doctor Name: | MR. JOHN EDWARD JEMISON |
NPI Number: | 1013341619 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 022838 |
Business Practice Address: | 121 Friends Lane Suite 700 Newtown, PA - 18940 |
Business Phone Number: | 2154979758 |
Business Fax Number: | 2154979759 |
Mailing Address: | 888 Queens Drive, YARDEY |
State: | PA |
Postal Code: | 190674626 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/30/2013 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 022838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |