Individual
GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W MAIN ST, MOORE, OK 73160-5105
(405) 237-9268
Mailing address
1303 W TECUMSEH RD APT 731, NORMAN, OK 73069-3248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6718
OK
Other
Enumeration date
08/12/2025
Last updated
08/22/2025
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