Individual
LEVI JOHNSON
Active
Individual
LEVI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1301339
TX
225100000X
Physical Therapist
Primary
5867
NM
225100000X
Physical Therapist
CP004023T
OK
Other
Enumeration date
02/05/2018
Last updated
07/28/2022
Update your record
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