Individual
KAREN A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9159 RED BRANCH RD # F, COLUMBIA, MD 21045-2013
(410) 740-2155
Mailing address
PO BOX 874, COLUMBIA, MD 21044-0874
(410) 740-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LS82
BLUECROSSBLUESHIEL
MD
Enumeration date
02/13/2007
Last updated
07/08/2007
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