Individual
MARC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1245 CHURCH RD, WYNCOTE, PA 19095-1800
(215) 884-9990
Mailing address
248 N SPRING GARDEN ST, AMBLER, PA 19002-4220
(215) 380-1073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010712
PA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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