| NPI | 1306154125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER D JOHNSON Owner 347-433-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60353079) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2014-11-11 |