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Individual

DANIEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
1140 HIGHWAY 315, SUITE 207, WILKES BARRE, PA 18711-0911
(570) 970-0402
(570) 970-0403
Mailing address
1140 HIGHWAY 315, SUITE 207, WILKES BARRE, PA 18711-0911
(570) 970-0402
(570) 970-0403

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024727
PA

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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