Individual
DENZEL JAMAR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15311 THORNRIDGE DR, GRAND BLANC, MI 48439-9203
(810) 620-3507
Mailing address
15311 THORNRIDGE DR, GRAND BLANC, MI 48439-9203
(810) 620-3507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5502006331
MI
225200000X
Physical Therapy Assistant
Primary
PTA004661
GA
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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