person
Mr. Eric Dwayne Johnson
Rehabilitation Practitioner in Las Vegas, Nevada
NPI 1154752053

Eric Dwayne Johnson is a Rehabilitation Practitioner based in North Las Vegas, NV. Eric Dwayne Johnson practices in Las Vegas, NV. The NPI Number for Eric Dwayne Johnson is 1154752053 and holds a License No. (Nevada).

The current practice location address for Eric Dwayne Johnson is 5615 S Pecos Rd, Las Vegas, NV and can be reached out via phone at 510-294-9760.

Location: 5615 S Pecos Rd, Las Vegas, NV, 89081-6801
person
Provider Profile Details
NPI Number
1154752053
Provider Name
Eric Dwayne Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5615 S Pecos Rd, Las Vegas, NV, 89081-6801
Phone Number
510-294-9760
Fax Number
Provider Enumeration Date
12/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5615 S Pecos Rd
City
State
Zip
89120-1961
Phone Number
510-294-9760
Fax Number
person
Provider Business Mailing Address Details
Address
5615 S Pecos Rd
City
State
Zip
89120-1961
Phone Number
510-294-9760
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
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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