Individual provider · Type 1 NPI
Laura Carol Johnson, PT, DPT
Pediatric Physical Therapist · Charleston, SC
Practice location
2048 Sam Rittenberg Blvd Ste 3
Charleston, SC 29407-4673
Fax (843) 277-1483
Mailing address
316 Archibald Dr
Goose Creek, SC 29445-8211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 10592 (SC) |
Pediatric Physical Therapist: 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, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1295320224
Laura Carol Johnson, PT, DPT's National Provider Identifier is 1295320224, issued on Mar 2, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Charleston, SC. The record was last updated on Sep 30, 2026.