Individual
JOHNSON LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
7310 RITCHIE HWY, GLEN BURNIE, MD 21061-3065
(267) 210-0833
Mailing address
1511 S 9TH ST, PHILADELPHIA, PA 19147-6436
(267) 210-0833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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