Individual
AMBER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
31 IDA RED AVE, SPARTA, MI 49345-1277
(616) 887-8152
(616) 887-3809
Mailing address
4541 LANTERN CT NW, COMSTOCK PARK, MI 49321-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011184
MI
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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