Individual
MISS AMY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2740 BUTLER AVE, LOS ANGELES, CA 90064-3806
(310) 351-1464
(424) 256-2300
Mailing address
3008 MILITARY AVE, LOS ANGELES, CA 90034-3015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29367
CA
225100000X
Physical Therapist
PT29367
CA
Other
Enumeration date
10/25/2006
Last updated
02/17/2022
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