Individual provider · Type 1 NPI

Glenn Phelps Johnson Jr.

Rehabilitation Practitioner · Woodland, CA

NPI number 1710249255 Active

Practice location

137 N Cottonwood St, Suite 1530
Woodland, CA 95695-6646

Mailing address

137 N Cottonwood St Ste 1530
Woodland, CA 95695-6664

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1710249255

Glenn Phelps Johnson Jr.'s National Provider Identifier is 1710249255, issued on Jun 11, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Woodland, CA. The record was last updated on May 8, 2026.