Individual
MR. MARCUS PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(712) 277-4442
Mailing address
3100 S LAKEPORT ST, SIOUX CITY, IA 51106-4222
(515) 204-8410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112333
IA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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