MRS. Johnna Renee Underwood, PT

NPI #1053669853 in Fairbanks, Alaska

Provider Information

NPI Number: 1053669853
Entity Type: Individual
Name: MRS. Johnna Renee Underwood, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 27, 2012
Last Updated: Aug 27, 2012

Practice Location

Address: 459 FARMERS LOOP RD
City: Fairbanks
State: Alaska
ZIP Code: 99712-1406
Phone: (907) 550-0587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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