Organization
FOUNDATION MANUAL PHYSICAL THERAPY AND PERFORMANCE
Active
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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