Individual
DAVID MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2614 MEMORIAL BLVD, CONNELLSVILLE, PA 15425-1405
(724) 626-1071
Mailing address
302 GERMAN ST, WEST NEWTON, PA 15089-1216
(724) 633-0133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009789
PA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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