Individual
MRS. SUSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8810 COLBY BLVD, INDIANAPOLIS, IN 46268-1399
(317) 872-4567
Mailing address
14388 SALEM DR W, CARMEL, IN 46033-8588
(317) 410-9876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007443A
IN
Other
Enumeration date
02/17/2016
Last updated
02/21/2023
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