Individual
DENISE JAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
212 INDEPENDENCE AVE, SUITE 100, GLENWOOD, IA 51534
(712) 527-5261
(712) 527-5263
Mailing address
1933 S 48TH ST, OMAHA, NE 68106-3206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03135
IA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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