Individual
MR. JAMES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 524-7720
Mailing address
516 S WOODDALE PL, EAGLE, ID 83616-7713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04311
OR
225100000X
Physical Therapist
PT-2195
ID
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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