Kelly Johnson, PTA

NPI #1194844480 in Panama City, Florida

Provider Information

NPI Number
1194844480
Entity Type
Individual
Name
Kelly Johnson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PTA
Enumeration Date
Mar 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
807 N TYNDALL PKWY
State
Florida
ZIP Code
32404-9495
Phone
(850) 763-0505

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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