Individual
JOHNSON EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8150 PINES BLVD, PEMBROKE PINES, FL 33024-6710
(754) 208-3765
Mailing address
2843 SW 179TH TER, MIRAMAR, FL 33029-5165
(954) 213-5209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32421
FL
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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