Johanna Fourie

NPI #1306326178 in Longview, Texas

Provider Information

NPI Number: 1306326178
Entity Type: Individual
Name: Johanna Fourie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 20, 2018
Last Updated: Aug 20, 2018

Practice Location

Address: 1104 SEMINOLE LN
City: Longview
State: Texas
ZIP Code: 75605-5746
Phone: (903) 663-3191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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