Individual
WILLIAM D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
W9400-5 PETERSON DR, IRON MOUNTAIN, MI 49801-9545
(906) 221-0626
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
96119
WI
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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