Individual
JEFFREY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
563 S GRANT ST, DENVER, CO 80209-4105
(303) 588-8768
Mailing address
563 S GRANT ST, DENVER, CO 80209-4105
(303) 588-8768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013396
CO
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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