Mitchell Johnson

NPI #1982343612 in Ponte Vedra, Florida

Provider Information

NPI Number: 1982343612
Entity Type: Individual
Name: Mitchell Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 1, 2022
Last Updated: Jul 25, 2023

Practice Location

Address: 816 A1A N STE 307
City: Ponte Vedra
State: Florida
ZIP Code: 32082-3219
Phone: (904) 543-4021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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