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Individual

KENNETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
10753 FALLS RD STE 235, LUTHERVILLE, MD 21093-4597
(410) 583-2665
(410) 847-3838
Mailing address
10753 FALLS RD STE 235, LUTHERVILLE, MD 21093-4597
(410) 583-2665
(410) 847-3838

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23309
MD
225100000X
Physical Therapist
5434
TN

Other

Enumeration date
07/20/2010
Last updated
07/20/2010
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