Doctor Name: | FERNANDA JOHNSON |
NPI Number: | 1750412268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT DPT |
License Number: | 4695 |
Business Practice Address: | 100 Smithfield Ave Pawtucket, RI - 028603497 |
Business Phone Number: | 4017259666 |
Business Fax Number: | 4017225896 |
Mailing Address: | 100 Smithfield Ave, PAWTUCKET |
State: | RI |
Postal Code: | 028603497 |
Phone Number: | 4017259666 |
Fax Number: | 4017225896 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4695 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |