Individual
ANDREW MERGEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
206 SPRINGCREST DR, FORT MILL, SC 29715-7306
(803) 746-4655
(803) 746-7807
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9021
SC
225100000X
Physical Therapist
P17754
NC
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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