Doctor Name: | MR. DERRICK J. JOHNSON |
NPI Number: | 1588859599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT3127 |
Business Practice Address: | 717 W 3rd St Elk City, OK - 736445207 |
Business Phone Number: | 5802250848 |
Business Fax Number: | 5802250873 |
Mailing Address: | 825 N Broadway Ave, Suite 400 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731026039 |
Phone Number: | 4056093675 |
Fax Number: | 8005063795 |
NPI Enumeration Date: | 09/12/2007 |
NPI Last Update Date: | 03/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3127 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |