Charles Johnson, PTA

NPI #1235333147 in Cedar Falls, Iowa

Provider Information

NPI Number: 1235333147
Entity Type: Individual
Name: Charles Johnson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2104 FOUR WINDS DR
City: Cedar Falls
State: Iowa
ZIP Code: 50613-6435
Phone: (319) 266-5993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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