Individual
DR. CHASE ETHAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1301 SUMMER LEE DR, ROCKWALL, TX 75032-5452
(214) 771-4400
Mailing address
1113 HIGHGATE RD, FORNEY, TX 75126-3825
(214) 799-7639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1304538
TX
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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