Greg L Johnson, MS, BPS, PTA

NPI #1578811527 in Tucumcari, New Mexico

Provider Information

NPI Number: 1578811527
Entity Type: Individual
Name: Greg L Johnson, MS, BPS, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: MS, BPS, PTA
Enumeration Date: Aug 23, 2012
Last Updated: Aug 23, 2012

Practice Location

Address: 305 E MIEL DE LUNA AVE
City: Tucumcari
State: New Mexico
ZIP Code: 88401-3810
Phone: (575) 461-7230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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