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Individual

MR. RICHARD LEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
655 S DOBSON RD BLDG B, SUITE #111, CHANDLER, AZ 85224-5667
(480) 732-0099
Mailing address
655 S DOBSON RD BLDG B, SUITE #111, CHANDLER, AZ 85224-5667
(480) 732-0099

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7885A
AZ

Other

Enumeration date
04/24/2008
Last updated
08/25/2009
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