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Individual

DANIELLE MARIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5340 ROYALTON RD, NORTH ROYALTON, OH 44133-4008
(440) 230-1133
(440) 230-9243
Mailing address
5340 ROYALTON RD, PO BOX 33396, NORTH ROYALTON, OH 44133-4008
(440) 230-1133
(440) 230-9243

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011749
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011749
OHIO LICENSE
OH
Enumeration date
02/26/2008
Last updated
07/09/2008
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