| NPI | 1740306810 |
|---|---|
| Professional Name | SUSAN LEE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT10265) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT10265) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |