Organization
NLJ PHYSICAL THERAPY CENTER P.C.
Active
Organization
NLJ PHYSICAL THERAPY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL LORN JOHNSON LICENSED PHYSICAL TH (OWNER PRESIDENT OF CLINIC)
(906) 774-3779
Entity
Organization
Contact information
Practice address
901 PYLE DRIVE, KINGSFORD, MI 49802-4452
(906) 774-3779
(906) 774-6712
Mailing address
901 PYLE DRIVE, KINGSFORD, MI 49802-4452
(906) 774-3779
(906) 774-6712
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4326024
WI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5501003258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009687
PREFERRED ONE
—
01
—
380747012
TRICARE NORTH
—
01
—
650012048
RAILROAD MEDICARE
—
01
—
650B257010
BCBS OF MICH
—
Enumeration date
08/03/2006
Last updated
03/08/2011
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