Individual
CHRISTOPHER RUSSELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
855 N ORANGE GROVE BLVD, PASADENA, CA 91103-3333
(626) 796-3453
Mailing address
PO BOX 40255, PASADENA, CA 91114-7255
(626) 296-8900
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
09/11/2017
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