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Individual
CLARK JOHNSON
Active
Individual
CLARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06226
OR
225100000X
Physical Therapist
19237
MA
225100000X
Physical Therapist
38312
CA
225100000X
Physical Therapist
Primary
8030412-2401
UT
225100000X
Physical Therapist
9307
AZ
Other
Enumeration date
12/12/2011
Last updated
05/09/2023
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