Individual
CHARLES TOSHIMICHI JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2166 N MOORPARK RD STE 200, THOUSAND OAKS, CA 91360-5011
(805) 370-1020
(805) 370-1022
Mailing address
2166 N MOORPARK RD STE 200, THOUSAND OAKS, CA 91360-5011
(805) 370-1020
(805) 370-1022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297265
CA
Other
Enumeration date
08/30/2019
Last updated
04/21/2025
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