| Fred Kendall Johnson, DPT | |
|
325 Mdg 340 Magnolia Circle, Tyndall Afb, FL 32403 | |
| (850) 283-7019 | |
| Not Available |
| Full Name | Fred Kendall Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 325 Mdg 340 Magnolia Circle, Tyndall Afb, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689826554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 029708 (New York) | Secondary |
| 225100000X | Physical Therapist | PT25177 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Kendall Johnson, DPT 359 Se 7th St, Dania Beach, FL 33004-4403 Ph: () - | Fred Kendall Johnson, DPT 325 Mdg 340 Magnolia Circle, Tyndall Afb, FL 32403 Ph: (850) 283-7019 |
Michael Reeks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7019 | |
Ms. Kendra Jo Warner, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7515 | |
Sean Alan Wilson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 336-598-2472 | |
Zachary Cabana, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 111-111-1111 | |
Dr. Erick Laron Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7019 |