Doctor Name: | MR. RAYMOND JOHN JOHNSON |
NPI Number: | 1306882485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. M.P.T. |
License Number: | PT008454L |
Business Practice Address: | 1345 Easton Rd Roslyn, PA - 190012401 |
Business Phone Number: | 2158852022 |
Business Fax Number: | 2158857408 |
Mailing Address: | 226 Goodford Rd, PHILADELPHIA |
State: | PA |
Postal Code: | 191544322 |
Phone Number: | 2156127992 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008454L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |