Individual
MRS. ANANTHI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, COMPT
Contact information
Practice address
13245 NORTHLINE RD, SOUTHGATE, MI 48195-1070
(734) 246-2130
(734) 246-8371
Mailing address
13245 NORTHLINE RD, SOUTHGATE, MI 48195-1070
(734) 246-2130
(734) 246-8371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010908
MI
Other
Enumeration date
06/29/2006
Last updated
03/19/2021
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