Individual
DENISE R. JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
602 1ST ST, LAPORTE, IN 46350-3129
(219) 325-0632
(219) 326-7611
Mailing address
3588 W SMALL RD, LAPORTE, IN 46350-7932
(219) 362-4650
(219) 326-7611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001745
IN
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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