BRAD A JOHANSON

TUCKER, GA
NPI1407289622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: GA  PT011168)
Enumeration Date2013-08-12
Last Update Date2015-10-30
Business Address
Dr. BRAD A JOHANSON DPT
2191 NORTHLAKE PKWY BUILDING 11 SUITE 31
TUCKER, GA 30084-4166
Phone number: 770-491-6004
Mailing Address
Dr. BRAD A JOHANSON DPT
3300 NORTHEAST NEEXPY 8
ATLANTA, GA 30341-3321
Phone number: 770-500-3848