Shannon R Johnson

NPI #1437787579 in Streator, Illinois

Provider Information

NPI Number: 1437787579
Entity Type: Individual
Name: Shannon R Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 1, 2020
Last Updated: Apr 1, 2020

Practice Location

Address: 2030 N 15TH RD
City: Streator
State: Illinois
ZIP Code: 61364-9754
Phone: (815) 674-0513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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