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NPI Code Detail

MEDICARE: NATHALIE JOHNSON PT

MEDICARE: NATHALIE JOHNSON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT25142FL

General Provider Information

NPI Number : 1295329266
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHALIE JOHNSON PT
Provider Business Mailing Address
First Line : 8500 ROYAL PALM BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8500 ROYAL PALM BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5715
Country : US
Telephone Number : 954-752-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2021
Last Update Date : 02/21/2021

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Directions to “ NATHALIE JOHNSON PT” Practice Location

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