Individual
MRS. JERRI L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5150 BAYOU BLVD, PENSACOLA, FL 32503-2158
(850) 416-6710
(850) 416-6710
Mailing address
2441 N 9TH AVE STE B, PENSACOLA, FL 32503-3989
(850) 416-7656
(850) 416-6710
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
PT20495
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT20495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811308400
—
FL
05
—
888000000
—
FL
Enumeration date
08/08/2006
Last updated
02/06/2020
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