Garrett Lee Johnson, PT, DPT
Physical Therapist in Costa Mesa, CA. Individual provider (NPI-1).
NPI number1982108288
StatusActive
Last updated in NPPESMar 21, 2018
Details
- NPI
- 1982108288
- Entity type
- Individual (NPI-1)
- Name
- Garrett Lee Johnson
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2018
- Last updated
- Mar 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 294389 | CA | Yes |
Practice location
2755 Bristol St Ste 130Costa Mesa, CA 92626-5985
Phone 714-966-2950 · Fax 714-557-2487
Mailing address
2736 Family TreeIrvine, CA 92618-1089
Phone 206-913-9481
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All 147 Physical Therapist providers in Costa Mesa · All 5,371 providers in Costa Mesa
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