Individual provider · Type 1 NPI
Dana Ellyn Johnson, DPT
Pediatric Physical Therapist · Rock Island, IL
Practice location
2400 47th Ave
Rock Island, IL 61201-6964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 02120 (IA) |
| Pediatric Physical Therapist Primary | 2251P0200X | 070-018070 (IL) |
| Pediatric Physical Therapist | 2251P0200X | 11006-24 (WI) |
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…
About NPI 1942240692
Dana Ellyn Johnson, DPT's National Provider Identifier is 1942240692, issued on Jun 8, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Rock Island, IL. The record was last updated on Feb 29, 2012.