Individual
ROGER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
78 KENRICK PLZ, SAINT LOUIS, MO 63119-4414
(314) 962-8020
(314) 962-6570
Mailing address
78 KENRICK PLZ, SAINT LOUIS, MO 63119-4414
(314) 962-8020
(314) 962-6570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1213
MO
225100000X
Physical Therapist
—
IL
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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