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1427467919
DONALD JOHNSON
STRATFORD, CT
NPI
1427467919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 10271)
Enumeration Date
2014-08-08
Last Update Date
2014-08-08
Business Address
-- DONALD JOHNSON
2900 MAIN ST SUITE 1D
STRATFORD, CT 06614-4946
Phone number: 203-378-0092
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Mailing Address
-- DONALD JOHNSON
1931 BLACK ROCK TPKE ATTN: CREDENTIALING
FAIRFIELD, CT 06825-3506
Phone number: 203-332-4363
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