Sophia Loren Johnson, DPT, PT Valid NPI

Individual provider · Physical Therapist · O Fallon, MO

NPI

1225806722

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

2023047998 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2023-12-13

Last updated

2023-12-13