Individual
BRADLEY D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2155 S STATE ROAD 46, TERRE HAUTE, IN 47803-9781
(812) 618-0651
(812) 618-0259
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(803) 812-3656
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05016228A
IN
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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