Individual
COLLIN J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1350 41ST AVE STE 100, CAPITOLA, CA 95010-3934
(831) 706-2085
(831) 417-3799
Mailing address
1054 US HIGHWAY 56, COUNCIL GROVE, KS 66846-8704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT294776
CA
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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