# TOMMIE E JOHNSON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144543869
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | LMT MT108519 | TX | — |
| 225400000X | Rehabilitation Practitioner | LMT MT108519 | TX | Yes |
| 225700000X | Massage Therapist | LMT MT108519 | TX | — |
| 225800000X | Recreation Therapist | LMT MT108519 | TX | — |
| 225X00000X | Occupational Therapist | LMT MT108519 | TX | — |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/24/2010