Individual
DR. KERRI T. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(877) 842-9887
Mailing address
415 BENEDUM DR., BRIDGEPORT, WV 26330
(877) 842-9887
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
004561
WV
225100000X
Physical Therapist
Primary
004561
WV
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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