Jessie Johnson

NPI #1588262877 in Mchenry, Illinois

Provider Information

NPI Number: 1588262877
Entity Type: Individual
Name: Jessie Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 9, 2020
Last Updated: Oct 9, 2020

Practice Location

Address: 550 RIDGEVIEW DR
City: Mchenry
State: Illinois
ZIP Code: 60050
Phone: (719) 472-4249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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