Individual
DANIEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, PRPC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11680864-2401
UT
225100000X
Physical Therapist
6312
NV
Other
Enumeration date
10/07/2016
Last updated
01/29/2024
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