Individual provider · Type 1 NPI

Holly P. Johnson, PT

Pediatric Physical Therapist · Rockford, IL

NPI number 1780896050 Active

Practice location

3616 N Main St
Rockford, IL 61103-2159

Fax (815) 877-6302

Mailing address

3496 E Whitaker Rd
Byron, IL 61010-9215

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X070002098 (IL)

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 1780896050

Holly P. Johnson, PT's National Provider Identifier is 1780896050, issued on May 7, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rockford, IL. The record was last updated on Aug 1, 2008.