Kathleen Vance Johnston, PTA

NPI #1861659120 in Bryan, Texas

Provider Information

NPI Number
1861659120
Entity Type
Individual
Name
Kathleen Vance Johnston, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 22, 2008
Last Updated
May 22, 2008

Practice Location

Address
1318 MEMORIAL DR
City
Bryan
State
Texas
ZIP Code
77802-5215
Phone
(979) 776-2872

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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