Individual
MR. ERIC L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1800 N WABASH AVENUE, SUITE 200, MARION, IN 46952
(765) 664-5400
(765) 651-3227
Mailing address
7200 S LAUREL LN, MUNCIE, IN 47302-8737
(765) 288-0009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003096A
IN
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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