Individual
DEVIN LUCAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12650 N BEACH ST STE 150, FORT WORTH, TX 76244-4243
(817) 402-0218
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1314915
TX
Other
Enumeration date
02/06/2019
Last updated
06/04/2024
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