Tammie Keller Johnson
Physical Therapist - Neurology
255 E Bonita Ave
Pomona
, California 91767-1923
Tammie Keller Johnson
Physical Therapist - Neurology
255 E Bonita Ave
Pomona
, California 91767-1923
(909) 596-7733
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Tammie Keller Johnson
- 255 E Bonita Ave
- Pomona, CA
- Zip : 91767-1933
- Phone : (909) 596-7733
Second Address
- Tammie Keller Johnson
- 255 E Bonita Ave
- Pomona, CA
- Zip : 91767-1923
- Phone : (714) 642-3687
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology |
National Provider Identifier
| NPI | 1154817641 |
|---|---|
| Provider Name | Tammie Keller Johnson |
| First Address | Pomona, CA 91767-1933 |
| Second Address | Pomona, CA 91767-1923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.