Individual
NAVINA SUSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15475 MIDDLEBELT RD, LIVONIA, MI 48154-3805
(734) 743-4000
Mailing address
16959 CARRIAGE WAY, NORTHVILLE, MI 48168-6509
(734) 259-2762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005858
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
01/07/2020
Last updated
01/07/2020
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