Individual
RICHARD G. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
209 W MAIN ST, MONCKS CORNER, SC 29461-2604
(843) 899-5374
(843) 899-5376
Mailing address
209 W MAIN ST, MONCKS CORNER, SC 29461-2604
(843) 899-5374
(843) 899-5376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1202
SC
Other
Enumeration date
08/11/2006
Last updated
11/07/2011
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