Jay Johnson, MPT

NPI #1083837116 in Homer Glen, Illinois

Provider Information

NPI Number: 1083837116
Entity Type: Individual
Name: Jay Johnson, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 14301 S GOLDEN OAK DR
City: Homer Glen
State: Illinois
ZIP Code: 60491-9696
Phone: (708) 645-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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