Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI # | 1477502680 |
| LBN Legal business name | JOHNSON PHYSICAL THERAPY INC |
| Authorized official | MICHAEL TARVIN - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/08/2006 |
| Last updated | 03/21/2008 - About 18 years ago |
| Identifiers | n/a |
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