ERIC JOHNSON

GRAND TERRACE, CA
NPI1720263304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  18614)
Enumeration Date2008-01-02
Last Update Date2008-01-02
Business Address
ERIC JOHNSON
12139 MOUNT VERNON AVE
GRAND TERRACE, CA 92313-5586
Phone number: 909-370-3396
Mailing Address
ERIC JOHNSON
12139 MOUNT VERNON AVE
GRAND TERRACE, CA 92313-5586
Phone number: