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Organization
R&R WELLNESS
Active
Organization
R&R WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA JOHNSON (OWNER)
(215) 201-8206
Entity
Organization
Contact information
Practice address
4080 LANCASTER AVE, PHILADELPHIA, PA 19104-1746
(610) 257-3942
Mailing address
PO BOX 9897, PHILADELPHIA, PA 19140-0897
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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