Individual
MR. HAROLD HAZEN JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17028 CADBURY CIR., CADBURY AT LEWES, LEWES, DE 19958
(302) 703-6087
Mailing address
23328 HORSE ISLAND RD, LEWES, DE 19958-3344
(206) 799-4031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000996
DE
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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