Individual
ELEANOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
9980 E JENAN DR, SCOTTSDALE, AZ 85260-5925
(480) 688-3538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-33162
AZ
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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