Individual
BLAKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 S EL CAMINO REAL STE 225, OCEANSIDE, CA 92054-6376
(858) 755-5200
(760) 826-2525
Mailing address
380 STEVENS AVE STE 314, SOLANA BEACH, CA 92075-2069
(858) 755-5200
(858) 755-5201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304474
CA
Other
Enumeration date
08/28/2023
Last updated
09/12/2023
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