Individual
MARC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4885 BITTERCREEK DR, COLORADO SPRINGS, CO 80922-2918
(417) 496-8907
Mailing address
4885 BITTERCREEK DR, COLORADO SPRINGS, CO 80922-2918
(417) 496-8907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12487
CO
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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