Individual
MR. BRADLEY N JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSCIAL THERAPIST
Contact information
Practice address
309 S LOUISIANA ST, PLAIN DEALING, LA 71064-3431
(318) 326-7120
(318) 326-7120
Mailing address
3838 OLD PLAIN DEALING RD, PLAIN DEALING, LA 71064-3424
(318) 326-5102
(318) 326-7120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04136
LA
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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