Individual
BRETT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 LENMAR DR, #D-102, COLORADO SPRINGS, CO 80905-2329
(218) 779-5532
Mailing address
1630 LENMAR DR, #D-102, COLORADO SPRINGS, CO 80905-2329
(218) 779-5532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2079033
TX
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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