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NPI Code Detail

MEDICARE: ERIKA JOHNSON DPT

MEDICARE: ERIKA JOHNSON DPT
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 Therapist18370MA

General Provider Information

NPI Number : 1487800413
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA JOHNSON DPT
Provider Business Mailing Address
First Line : 250 E MAIN ST
Second Line :
City : NORTON
State : MA
Zip : 02766-2436
Country : US
Telephone Number : 617-244-1990
Fax Number :
Provider Business Practice Location Address
First Line : 425 CENTRE ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-2063
Country : US
Telephone Number : 617-244-1990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2008
Last Update Date : 08/11/2008

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Directions to “ ERIKA JOHNSON DPT” Practice Location

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