Mikalyn Marice Johnson

NPI #1629721766 in Franklin Park, Illinois

Provider Information

NPI Number: 1629721766
Entity Type: Individual
Name: Mikalyn Marice Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 29, 2022
Last Updated: Jan 29, 2022

Practice Location

Address: 10137 GRAND AVE
City: Franklin Park
State: Illinois
ZIP Code: 60131-2548
Phone: (847) 451-7590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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