Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008
(405) 440-9866
(405) 438-3834
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 440-9866
(405) 438-3834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5545
OK
2251P0200X
Pediatric Physical Therapist
Primary
5545
OK
Other
Enumeration date
09/25/2018
Last updated
03/22/2019
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