Casey Johnson, PTA

NPI #1174994057 in El Dorado, Arkansas

Provider Information

NPI Number: 1174994057
Entity Type: Individual
Name: Casey Johnson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 17, 2015
Last Updated: Mar 17, 2018

Practice Location

Address: 214 HOPE LANDING RD
City: El Dorado
State: Arkansas
ZIP Code: 71730-8725
Phone: (870) 862-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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