MR. Jacob Darrell Johnson, DPT

NPI #1174873723 in Lonoke, Arkansas

Provider Information

NPI Number: 1174873723
Entity Type: Individual
Name: MR. Jacob Darrell Johnson, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 11, 2012
Last Updated: Sep 11, 2012

Practice Location

Address: 1515 NORTH CENTER STREET
Address 2: SUITE 5
City: Lonoke
State: Arkansas
ZIP Code: 72086
Phone: (501) 676-5540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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