Individual
RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15870 FREDERICK RD, WOODBINE, MD 21797-8528
(410) 844-8185
Mailing address
15870 FREDERICK RD, WOODBINE, MD 21797-8528
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
30393
MD
2255A2300X
Athletic Trainer
3779
MN
Other
Enumeration date
04/29/2024
Last updated
05/22/2025
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