Individual
THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-3638
(207) 373-3683
Mailing address
58 BARIBEAU DR, BRUNSWICK, ME 04011-3218
(207) 373-3638
(207) 373-3683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2282
ME
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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