Individual
MR. KENNETH L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 MAIN STREET, SUITE 111, STONEHAM, MA 02180-1619
(617) 666-8800
(617) 666-4488
Mailing address
200 MAIN STREET, SUITE 111, STONEHAM, MA 02180-1619
(617) 666-8800
(617) 666-4488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7662
MA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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