Doctor Name: | MRS. ERICA C JOHNSON |
NPI Number: | 1013262229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MSG005875 |
Business Practice Address: | 933 E Sharpnack St Side Entrance Philadelphia, PA - 191503611 |
Business Phone Number: | 2672892487 |
Business Fax Number: | 2159335588 |
Mailing Address: | 7715 Crittenden St, Suite 340 PHILADELPHIA |
State: | PA |
Postal Code: | 191184421 |
Phone Number: | 2672892487 |
Fax Number: | 2159335588 |
NPI Enumeration Date: | 07/14/2012 |
NPI Last Update Date: | 07/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MSG005875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |