Individual
DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 W JEFFERSON ST STE A, FRANKLIN, IN 46131-2760
(317) 736-0660
Mailing address
6644 NEWSTEAD DRIVE, INDIANAPOLIS, IN 46217
(219) 741-5498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010082A
IN
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/03/2006
Last updated
11/03/2009
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