Individual
SUSAN LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 MASSASOIT AVE, EAST PROVIDENCE, RI 02914-2012
(401) 490-6566
Mailing address
400 MASSASOIT AVE, EAST PROVIDENCE, RI 02914-2012
(401) 490-6566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/02/2021
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