Gwanetia M Johnson PTA

NPI 1023152543 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1023152543
Gender Female
Enumeration Date 02/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2601 FOREST DR
COLUMBIA SC, 29204-2363, US
Phone (803) 765-7127
Fax
Business Location
504 CAMBOUT ST
COLUMBIA SC, 29210-7121, US
Phone (803) 238-8788
Fax
Toxanomy
Taxonomy Code 225200000X
License State South Carolina
License Number 1960
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According to our database, Gwanetia M Johnson PTA NPI is 1023152543, taxonomy code is 225200000X and license number is 1960, license state is located at South Carolina. Gwanetia M Johnson PTA physically located at 2601 Forest Dr, Columbia SC, 29204-2363. NPI Number Gwanetia M Johnson PTA has the Individual type.

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1023152543 NPI number is provided on an as is basis without warranty of any kind. 1023152543 is maintained by the National Plan & Provider Enumeration System. The contents of Gwanetia M Johnson PTA are for informational purposes only.