Individual
MRS. ELESA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON), FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
Mailing address
550 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MS. COTTON), FORT LEAVENWORTH, KS 66027-2332
(913) 684-6562
(913) 684-6208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03823
KS
225100000X
Physical Therapist
PT870767
DC
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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