Leslie Johnson, ATC

NPI #1053904078 in Charlestown, Indiana

Provider Information

NPI Number: 1053904078
Entity Type: Individual
Name: Leslie Johnson, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: Feb 20, 2021
Last Updated: Feb 20, 2021

Practice Location

Address: 6207 KAMER CT
City: Charlestown
State: Indiana
ZIP Code: 47111-9078
Phone: (502) 810-7026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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