MRS. Stacey Ann Johnson, PTA

NPI #1942617402 in Kingston, Pennsylvania

Provider Information

NPI Number: 1942617402
Entity Type: Individual
Name: MRS. Stacey Ann Johnson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 16, 2014
Last Updated: Jul 16, 2014

Practice Location

Address: 702 3RD AVE
City: Kingston
State: Pennsylvania
ZIP Code: 18704-5845
Phone: (570) 283-5848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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