Individual
LAUREL B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7608 E 91ST ST, TULSA, OK 74133-6014
(918) 663-0606
(918) 663-8754
Mailing address
7608 E 91ST ST, TULSA, OK 74133-6014
(918) 663-0606
(918) 663-8754
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4475
OK
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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