MS. Andrea Joellen Johnson I, PTA

NPI #1508072372 in Jenkins, Kentucky

Provider Information

NPI Number: 1508072372
Entity Type: Individual
Name: MS. Andrea Joellen Johnson I, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 457 BENTLEY LOOP
City: Jenkins
State: Kentucky
ZIP Code: 41537-9004
Phone: (606) 832-1471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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