Individual
MR. DERRICK J. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
717 W 3RD ST, ELK CITY, OK 73644-5207
(580) 225-0848
(580) 225-0873
Mailing address
825 N BROADWAY AVE, SUITE 400, OKLAHOMA CITY, OK 73102-6039
(405) 609-3675
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3127
OK
Other
Enumeration date
09/12/2007
Last updated
03/29/2010
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