Individual
MR. SHAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5190 GOVERNOR DR STE 107, SAN DIEGO, CA 92122-2848
(858) 452-0282
Mailing address
5190 GOVERNOR DR. SUITE 107, SAN DIEGO, CA 92122
(858) 452-0282
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 292216
CA
Other
Enumeration date
10/28/2016
Last updated
11/16/2016
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