Individual
CARLA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2327 FOREST DR STE D, ANNAPOLIS, MD 21401-3865
(443) 782-7243
(410) 881-6514
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23462
MD
225100000X
Physical Therapist
38954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3304
PHYSICAL THERAPIST
HI
Enumeration date
11/15/2010
Last updated
01/21/2025
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