Benjamin Johnson, PT Valid NPI
Individual provider · Physical Therapist · San Bernardino, CA
- NPI
- 1114675865
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 297043 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
Practice location
2101 N Waterman Ave
San Bernardino, CA 92404-4836
(916) 612-6952