Doctor Name: | DENISE R. JOHNSON |
NPI Number: | 1598724312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05001745 |
Business Practice Address: | 602 1st St Laporte, IN - 463503129 |
Business Phone Number: | 2193250632 |
Business Fax Number: | 2193267611 |
Mailing Address: | 3588 W Small Rd, LAPORTE |
State: | IN |
Postal Code: | 463507932 |
Phone Number: | 2193624650 |
Fax Number: | 2193267611 |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05001745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |