Individual
CONNIE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7540 NORTH 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
7644 DAWN DR, LITTLETON, CO 80125-8936
(407) 222-0375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9056
CO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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