MELISSA L JOHNSON

ATHLETICO LTD

Dr MELISSA L JOHNSON is a female medical professional, specializing in Physical Therapy. She graduated in 2007.

Contact

ATHLETICO LTD

407 N LAGRANGE RD
LAGRANGE PARK
IL
605265623

Tel: 7084829320

MELISSA L JOHNSON Information

Npi 1558556431
Pac Id 6800052440
Professional Enrollment Id I20120725000663
Last Name JOHNSON
First Name MELISSA
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ATHLETICO LTD
Group Practice Pac Id 4789602681
Number Of Group Practice Members 785
Line 1 Street Address 407 N LAGRANGE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAGRANGE PARK
State IL
Zip Code 605265623
Phone Number 7084829320
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 Y

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