Individual
MR. JEREME BRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
187 NINTH ST, JENA, LA 71342-2780
(318) 992-9200
(318) 992-9279
Mailing address
PO BOX 2780, 187 NINTH ST, JENA, LA 71342-2780
(318) 992-9200
(318) 992-9279
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08028
LA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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