Organization
FOUNDATION MANUAL PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS EDWARD JOHNSON DPT (PHYSICAL THERAPIST)
(586) 615-8585
Entity
Organization
Contact information
Practice address
1756 HUNTINGTON BLVD, GROSSE POINTE WOODS, MI 48236-1916
(586) 615-8585
Mailing address
1756 HUNTINGTON BLVD, GROSSE POINTE WOODS, MI 48236-1916
(586) 615-8585
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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