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Individual
SCOTT A JOHNSON
Active
Individual
SCOTT A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1137719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1137719
PHYSICAL THERAPY LICENSE
TX
01
—
8T1331
BCBS PROVIDER #
TX
Enumeration date
06/26/2006
Last updated
10/05/2017
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