Individual
KAREN MARISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1811 PUERTO WAY, HENDERSON, NV 89012-3475
(818) 590-9307
Mailing address
1811 PUERTO WAY, HENDERSON, NV 89012-3475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036908-1
NY
225100000X
Physical Therapist
37979
CA
225100000X
Physical Therapist
Primary
4633
NV
Other
Enumeration date
01/21/2015
Last updated
12/08/2022
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