Individual
CHARLES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 PARK TEN BLVD, SAN ANTONIO, TX 78213-4211
(210) 734-6050
Mailing address
5423 TIMBER POST ST, SAN ANTONIO, TX 78250-4206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010591
TX
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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