# NLJ PHYSICAL THERAPY CENTER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902814312
- **Authorized official:** MR. NEAL LORN JOHNSON LICENSED PHYSICAL TH (OWNER PRESIDENT OF CLINIC)
- **Authorized official phone:** (906) 774-3779

## Contact information

- **Practice address:** 901 PYLE DRIVE, KINGSFORD, MI 49802-4452
- **Practice address phone:** (906) 774-3779
- **Practice address fax:** (906) 774-6712
- **Mailing address:** 901 PYLE DRIVE, KINGSFORD, MI 49802-4452
- **Mailing address phone:** (906) 774-3779
- **Mailing address fax:** (906) 774-6712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4326024 | WI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 5501003258 | MI | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 03/08/2011