MR. Gary Russell Johnson, PT

NPI #1285794107 in Woodville, Mississippi

Provider Information

NPI Number: 1285794107
Entity Type: Individual
Name: MR. Gary Russell Johnson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 11, 2006
Last Updated: Oct 22, 2007

Practice Location

Address: 558 1ST SOUTH ST
City: Woodville
State: Mississippi
ZIP Code: 39669-3777
Phone: (601) 888-7944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

Provider Name	Specialty	City
Premier Physical Therapy, LLC	Physical Therapist	Woodville	AI Deep Dive

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