Fred Kendall Johnson DPT

NPI 1689826554 - Physical Therapist - 225100000X

NPI Details
NPI 1689826554
Gender Male
Enumeration Date 10/22/2008
Last Updated 12/09/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
ROOM 202
NEW YORK NY, 10022-6102, US
Phone (212) 371-7869
Fax (212) 755-2030
Business Location
LARCHMONT NY, 10538-3933, US
Phone (914) 315-1800
Fax (914) 315-1799
Taxonomy Code 225100000X
License State New York
License Number 029708
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According to our database, Fred Kendall Johnson DPT NPI is 1689826554, taxonomy code is 225100000X and license number is 029708, license state is located at New York. Fred Kendall Johnson DPT physically located at 575 Lexington Ave, New York NY, 10022-6102. NPI Number Fred Kendall Johnson DPT has the Individual type.

1689826554 NPI number is provided on an as is basis without warranty of any kind. 1689826554 is maintained by the National Plan & Provider Enumeration System. The contents of Fred Kendall Johnson DPT are for informational purposes only.