Doctor Name: | MR. ROBERT BRANDON JOHNSON |
NPI Number: | 1871837864 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 022143 |
Business Practice Address: | 82 N Main St Suite 1 Carbondale, PA - 184071914 |
Business Phone Number: | 5702820200 |
Business Fax Number: | |
Mailing Address: | 380 Swistro Rd, JACKSON |
State: | PA |
Postal Code: | 188259563 |
Phone Number: | 5704421023 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 022143 |
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 |