Individual
MR. DAREN CLARENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2750 E BELTLINE AVE NE FL 2, GRAND RAPIDS, MI 49525-8614
(616) 267-7015
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
L960622
MI
Other
Enumeration date
10/02/2006
Last updated
12/30/2024
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