MR. Kenneth L Johnson, PTA
NPI #1154410371 in Stoneham, Massachusetts
Provider Information
- NPI Number
- 1154410371
- Entity Type
- Individual
- Name
- MR. Kenneth L Johnson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 200 MAIN STREET
- Address 2
- SUITE 111
- City
- Stoneham
- State
- Massachusetts
- ZIP Code
- 02180-1619
- Phone
- (617) 666-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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