Individual
CHESTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1838 GREENE TREE RD, BALTIMORE, MD 21208-6391
(410) 653-9813
Mailing address
PO BOX 69014, BALTIMORE, MD 21264-9014
(919) 535-8758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26616
MD
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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