Organization
JOHNSON PHYSICAL THERAPY PLLC
Active
Other names
Evolv Physical Therapy & Performance
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JOHNSON DPT (OWNER)
(608) 617-9424
Entity
Organization
Contact information
Practice address
35 RINGGOLD ST UNIT 503, WEST HARTFORD, CT 06119-1262
(608) 617-9424
Mailing address
35 RINGGOLD ST UNIT 503, WEST HARTFORD, CT 06119-1262
(608) 617-9424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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