Individual
CHRISTINE LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 992-9711
Mailing address
901 CHISWELL DR, DOWNINGTOWN, PA 19335-4152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011268L
PA
Other
Enumeration date
04/02/2007
Last updated
10/01/2020
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