MRS. Lisa Grace Johnson, P.T.

NPI #1184901480 in Kankakee, Illinois

Provider Information

NPI Number: 1184901480
Entity Type: Individual
Name: MRS. Lisa Grace Johnson, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Nov 15, 2011
Last Updated: Nov 15, 2011

Practice Location

Address: 1601 BUTTERFIELD TRAIL
City: Kankakee
State: Illinois
ZIP Code: 60901
Phone: (815) 936-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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