Individual
MRS. HOLLY P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3616 N MAIN ST, ROCKFORD, IL 61103-2159
(815) 877-5932
(815) 877-6302
Mailing address
3496 E WHITAKER RD, BYRON, IL 61010-9215
(815) 234-8998
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070002098
IL
Other
Enumeration date
05/07/2007
Last updated
08/01/2008
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