Katherine Johnson I, PTA
NPI #1033463393 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1033463393
- Entity Type
- Individual
- Name
- Katherine Johnson I, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 7, 2012
- Last Updated
- Nov 7, 2012
Practice Location
- Address
- 320 N RUBY LN
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208
- Phone
- (618) 394-9798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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