Individual
MR. RICARDO JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA- MLD-C
Contact information
Practice address
2004 ROYAL GARDEN DR, BALTIMORE, MD 21207-4324
(301) 708-8516
Mailing address
2004 ROYAL GARDEN DR, BALTIMORE, MD 21207-4324
(301) 708-8516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3330
MD
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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