DR. Richard Wayne Johnson, PT, EDD

NPI #1073883575 in East Setauket, New York

Provider Information

NPI Number: 1073883575
Entity Type: Individual
Name: DR. Richard Wayne Johnson, PT, EDD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, EDD
Enumeration Date: Dec 31, 2011
Last Updated: Dec 31, 2011

Practice Location

Address: 12 TECHNOLOGY DR
City: East Setauket
State: New York
ZIP Code: 11733-4049
Phone: (631) 689-2009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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