ELLIS EDWARD JOHNSON

DENHAM SPRINGS, LA
NPI1679583645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  03226)
Enumeration Date2006-08-09
Last Update Date2011-01-05
Business Address
Mr. ELLIS EDWARD JOHNSON PT
35055 LA HWY 16 STE 1C
DENHAM SPRINGS, LA 70706
Phone number: 225-791-7770
Mailing Address
Mr. ELLIS EDWARD JOHNSON PT
PO BOX 392
WATSON, LA 70786
Phone number: 225-791-7770