MR. Carl Andrew Johnson, PTA

NPI #1205318359 in Fairfield, Texas

Provider Information

NPI Number: 1205318359
Entity Type: Individual
Name: MR. Carl Andrew Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 5, 2018
Last Updated: Sep 5, 2018

Practice Location

Address: 420 MOODY ST
City: Fairfield
State: Texas
ZIP Code: 75840-3036
Phone: (937) 679-6675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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