Shirley Jean Johnson, PTA

NPI #1750376661 in Bloomington, Indiana

Provider Information

NPI Number
1750376661
Entity Type
Individual
Name
Shirley Jean Johnson, PTA
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 16, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
2499 W COTA DR
State
Indiana
ZIP Code
47403-4217
Phone
(812) 337-0210

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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