Miranda Johnson, PTA

NPI #1992086326 in Sedalia, Missouri

Provider Information

NPI Number: 1992086326
Entity Type: Individual
Name: Miranda Johnson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 25023 BOTHWELL PARK RD
City: Sedalia
State: Missouri
ZIP Code: 65301-0084
Phone: (660) 827-3993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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