| Doctor Name: | DR. JENNIFER JO KOSTIK JOHNSON |
| NPI Number: | 1134163538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, ATC |
| License Number: | PT017304L |
| Business Practice Address: | 112 Walnut Ln Suite 10 West Newton, PA - 150891170 |
| Business Phone Number: | 7248720356 |
| Business Fax Number: | 7248726051 |
| Mailing Address: | 127 Shultz St, CONNELLSVILLE |
| State: | PA |
| Postal Code: | 154252220 |
| Phone Number: | 7242772365 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT017304L |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |