Doctor Name: | MELISSA M JOHNS |
NPI Number: | 1881606317 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 17596 |
Business Practice Address: | 101 Hodencamp Road Ste 100 Thousand Oaks, CA - 91360 |
Business Phone Number: | 8054950516 |
Business Fax Number: | 8053819366 |
Mailing Address: | 101 Hodencamp Road, Ste 100, THOUSAND OAKS |
State: | CA |
Postal Code: | 91360 |
Phone Number: | 8054950516 |
Fax Number: | 8053819366 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 05/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17596 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |