Organization
REHAB P.C.
Active
Organization
REHAB P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W JOHNSON MD (OWNER)
(812) 425-2662
Entity
Organization
Contact information
Practice address
1146 WASHINGTON SQ, EVANSVILLE, IN 47715-6809
(812) 425-2662
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
11/05/2020
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