Angela Johnson

NPI #1992811103 in Blytheville, Arkansas

Provider Information

NPI Number: 1992811103
Entity Type: Individual
Name: Angela Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4407 AMARILLO ST
City: Blytheville
State: Arkansas
ZIP Code: 72315-5702
Phone: (870) 532-2229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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