NPI | 1912677527 |
---|---|
Other Name | JOSHUA DAVID JOHNSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20851) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 047536) |
Enumeration Date | 2021-09-15 |
Last Update Date | 2022-06-03 |