Kenneth L Johnson PTA

NPI 1154410371 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1154410371
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
200 MAIN STREET
SUITE 111
STONEHAM MA, 02180-1619, US
Phone (617) 666-8800
Fax (617) 666-4488
Business Location
200 MAIN STREET
SUITE 111
STONEHAM MA, 02180-1619, US
Phone (617) 666-8800
Fax (617) 666-4488
Toxanomy
Taxonomy Code 225200000X
License State Massachusetts
License Number 7662
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According to our database, Mr. Kenneth L Johnson PTA NPI is 1154410371, taxonomy code is 225200000X and license number is 7662, license state is located at Massachusetts. Kenneth L Johnson PTA physically located at 200 Main Street, Stoneham MA, 02180-1619. NPI Number Kenneth L Johnson PTA has the Individual type.

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1154410371 NPI number is provided on an as is basis without warranty of any kind. 1154410371 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth L Johnson PTA are for informational purposes only.