Organization
ERICA JOHNSON LLC
Active
Other names
Comprehensive Wellness Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA JOHNSON (OWNER)
(215) 201-8206
Entity
Organization
Contact information
Practice address
3504 GERMANTOWN AVE, PHILADELPHIA, PA 19140-4224
(267) 687-1839
Mailing address
PO BOX 9897, PHILADELPHIA, PA 19140-0897
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
—
111NX0100X
Occupational Health Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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