Individual
MISS TAYLOR M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4351 24TH AVE STE 5, FORT GRATIOT, MI 48059-4506
(810) 385-7405
(810) 385-7420
Mailing address
4351 24TH AVE STE 5, FORT GRATIOT, MI 48059-4506
(810) 385-7405
(810) 385-7420
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501301862
MI
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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