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Individual

CRAIG ARTHUR JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4350 E CAMELBACK RD, SUITE F-100, PHOENIX, AZ 85018-2701
(602) 955-8700
(602) 553-8142
Mailing address
2633 E NANCE ST, MESA, AZ 85213-1556
(480) 969-9827

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1915
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1915
STATE LICENSE
AZ
Enumeration date
11/27/2006
Last updated
07/08/2007
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