Individual
MICHAEL ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DSCPT, OCS
Contact information
Practice address
KELLER ARMY COMMUNITY HOSPITAL, ARVIN GYMNASIUM, 900 WASHINGTON ROAD, WEST POINT, NY 10996
(845) 938-3324
(845) 938-8114
Mailing address
578A BENEDICT RD, WEST POINT, NY 10996-1205
(845) 938-3067
(845) 938-8114
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
039400-01
NY
2251X0800X
Orthopedic Physical Therapist
2799
OR
Other
Enumeration date
04/12/2006
Last updated
10/11/2024
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