Individual
LISA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLT
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 502-4300
Mailing address
5884 E 39TH PL, YUMA, AZ 85365-2626
(530) 261-3200
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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