Diane L Johnson PTA

NPI 1619142809 - Physical Therapist - 225100000X

NPI Details
NPI 1619142809
Gender Female
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3703 W LAKE AVE STE 200
GLENVIEW IL, 60026-1266, US
Phone (847) 998-1188
Business Location
PLAINFIELD IL, 60586-7209, US
Taxonomy Code 225100000X
License State Illinois
License Number 160.001865
Remove 1619142809 NPI Number

According to our database, Diane L Johnson PTA NPI is 1619142809, taxonomy code is 225100000X and license number is 160.001865, license state is located at Illinois. Diane L Johnson PTA physically located at 3703 W Lake Ave Ste 200, Glenview IL, 60026-1266. NPI Number Diane L Johnson PTA has the Individual type.

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1619142809 NPI number is provided on an as is basis without warranty of any kind. 1619142809 is maintained by the National Plan & Provider Enumeration System. The contents of Diane L Johnson PTA are for informational purposes only.