Individual
MRS. ELIZABETH M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
514 LAFAYETTE RD, MERION STATION, PA 19066-1010
(610) 733-2055
Mailing address
514 LAFAYETTE RD, MERION STATION, PA 19066-1010
(610) 733-2055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007152L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015438970003
—
PA
Enumeration date
10/28/2008
Last updated
02/22/2016
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