Individual
ANDREW MARK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-2585
Mailing address
24715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-3207
(586) 779-7970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019004
MI
Other
Enumeration date
12/21/2018
Last updated
09/11/2024
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