MRS. Runako Ayana Johnson, PTA

NPI #1386855443 in Davenport, Florida

Provider Information

NPI Number: 1386855443
Entity Type: Individual
Name: MRS. Runako Ayana Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1316 SOUTH BLVD W
City: Davenport
State: Florida
ZIP Code: 33837-9093
Phone: (863) 421-0556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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