Holly P Johnson in Rockford - Pediatrics

Holly P Johnson - NPI 1780896050

Holly P Johnson is a Pediatrics in Rockford, Illinois. Holly P Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Holly P Johnson is 1780896050. The last update date is 2008-08-01.

Holly P Johnson's current location address is 3616 N Main St, Rockford, Illinois. You can contact this provider via phone number 8158775932 and fax number 8158776302. The mailing address for Holly P Johnson is 3616 N Main St, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Holly P Johnson
Address 3616 N Main St, Rockford, Illinois
Phone Number 8158775932
Fax Number 8158776302
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1780896050
Provider Enumeration Date 2007-05-07
Last Updated Date 2008-08-01

Provider Mailing Address Detail

Address 3616 N Main St
City Rockford
State Illinois (IL)
Post Code 611032159
Phone Number 8158775932
Fax Number 8158776302

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 70002098
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Holly P Johnson

What is the Holly P Johnson's unique identification number?

The Holly P Johnson has been assigned the NPI (National Provider Identifier) Number 1780896050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Holly P Johnson is physically located?

The Holly P Johnson is physically situated at the following address: 3616 N Main St, Rockford, IL, 611032159.

What is Holly P Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Holly P Johnson's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251P0200X.

When did the Holly P Johnson receive its 1780896050?

The Holly P Johnson was issued its 1780896050 on 2007-05-07, which is the date when the organization was assigned this unique identifier.

When was the information regarding Holly P Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Holly P Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-01.

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