MR. KENNETH JOHNSON, P.T.,O.T.

Physical Therapist

Active Individual
NPI: 1114175098

Practice Address

740 SAINT CLAIR ST
Detroit, MI 48214

Phone: (313) 822-3464

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 5501001186 (MI)
Occupational Therapist 225X00000X No 5201003272 (MI)

Frequently Asked Questions

NPI 1114175098 is the National Provider Identifier for MR. KENNETH JOHNSON, P.T.,O.T., a Physical Therapist provider located in Detroit, MI. This NPI was enumerated on September 3, 2008.
MR. KENNETH JOHNSON, P.T.,O.T. practices at 740 SAINT CLAIR ST, Detroit, MI 48214.

Quick Facts

NPI
1114175098
Type
Individual
Enumerated
Sep 3, 2008
Last Updated
Sep 3, 2008

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