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Organization
LAMAR JOHNSON PHYSICAL THERAPY SERVICES
Active
Organization
LAMAR JOHNSON PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRUITT JOHNSON MPT (CEO)
(951) 231-4827
Entity
Organization
Contact information
Practice address
27409 ARLA ST, MORENO VALLEY, CA 92555-4947
(951) 231-4827
Mailing address
27409 ARLA ST, MORENO VALLEY, CA 92555-4947
(951) 231-4827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26033
CA
Other
Enumeration date
11/10/2009
Last updated
02/26/2010
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