Individual
DAVID ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3020 S 6TH ST, SPRINGFIELD, IL 62703-5915
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015515
IL
Other
Enumeration date
11/29/2010
Last updated
05/22/2020
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