Individual
MARK JOSEPH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
10001 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-6200
(504) 281-4521
Mailing address
916 ROBERT E LEE BLVD., NEW ORLEANS, LA 70124
(504) 495-7207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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