Individual
DR. SPENCER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
124 FITZHUGH ST, LELAND, MS 38756-3316
(662) 571-8992
Mailing address
124 FITZHUGH ST, LELAND, MS 38756-3316
(662) 571-8992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5740
MS
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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