Provider Demographics
NPI:1588911689
Name:JOHNSON-LECHNER, ISOBEL (PT)
Entity type:Individual
Prefix:MS
First Name:ISOBEL
Middle Name:
Last Name:JOHNSON-LECHNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:ISOBEL
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:220 W MCDOWELL AVE
Mailing Address - Street 2:PHYSICAL THERAPY
Mailing Address - City:ALTURAS
Mailing Address - State:CA
Mailing Address - Zip Code:96101-3934
Mailing Address - Country:US
Mailing Address - Phone:530-233-7054
Mailing Address - Fax:
Practice Address - Street 1:220 W MCDOWELL AVE
Practice Address - Street 2:PHYSICAL THERAPY
Practice Address - City:ALTURAS
Practice Address - State:CA
Practice Address - Zip Code:96101-3934
Practice Address - Country:US
Practice Address - Phone:530-233-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15835225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist