Organization
REGENT THERAPY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHAEL JOHNSON DPT (OWNER)
(716) 550-0638
Entity
Organization
Contact information
Practice address
4215 YANCEYVILLE RD APT C, BROWNS SUMMIT, NC 27214-8901
(716) 550-0638
Mailing address
4215 YANCEYVILLE RD APT C, BROWNS SUMMIT, NC 27214-8901
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P14517
NC
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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