MR. Lucas Jared Johnson, M.P.T

NPI #1356447999 in Prunedale, California

Provider Information

NPI Number: 1356447999
Entity Type: Individual
Name: MR. Lucas Jared Johnson, M.P.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T
Enumeration Date: Sep 14, 2006
Last Updated: Nov 6, 2007

Practice Location

Address: 17823 COUNTRYSIDE CT
City: Prunedale
State: California
ZIP Code: 93907-8804
Phone: (831) 663-8818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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