JAN R JOHNSON

Dr JAN R JOHNSON is a male medical professional, specializing in Physical Therapy. He graduated in 1974.

Contact

585 TAHOE KEYS BLVD
SUITE F
SOUTH LAKE TAHOE
CA
961503487

Tel: 5305425750

JAN R JOHNSON Information

Npi 1295784510
Pac Id 8022276484
Professional Enrollment Id I20120215000330
Last Name JOHNSON
First Name JAN
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1974
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 585 TAHOE KEYS BLVD
Line 2 Street Address SUITE F
Marker Of Address Line 2 Suppression
City SOUTH LAKE TAHOE
State CA
Zip Code 961503487
Phone Number 5305425750
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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