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Kenneth Johnson, PTA
NPI 1154410371 · on the registry since 2006 · sole proprietor
Practice
- Address
- 200 Main Street
Suite 111
Stoneham, MA 02180 - Phone
- (617) 666-8800
- Fax
- (617) 666-4488
- Organisation at this address
- Olympic Physical Medicine
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts