KENNETH LEE JOHNSON

DETROIT, MI
NPI1114175098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501001186)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MI  5201003272)
Enumeration Date2008-09-03
Last Update Date2008-09-03
Business Address
Mr. KENNETH LEE JOHNSON P.T.,O.T.
740 SAINT CLAIR ST
DETROIT, MI 48214-3660
Phone number: 313-822-3464
Mailing Address
Mr. KENNETH LEE JOHNSON P.T.,O.T.
PO BOX 48066
OAK PARK, MI 48237-5766
Phone number: 313-822-3464