Individual
MR. PHILIP JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
2336 DRAPER AVE, YPSILANTI, MI 48197-4312
(734) 528-9168
Mailing address
2336 DRAPER AVE, YPSILANTI, MI 48197-4312
(734) 528-9168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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