Susan Johnson PTA

NPI 1417152109 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1417152109
Gender Female
Enumeration Date 06/20/2007
Last Updated 09/28/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3420 HOLLOWAY ST
DURHAM NC, 27703-3522, US
Phone (919) 596-9464
Fax
Business Location
220 CHERRYLAUREL DR
YOUNGSVILLE NC, 27596-7133, US
Phone (567) 203-1971
Fax
Toxanomy
Taxonomy Code 225200000X
License State Ohio
License Number 04155
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According to our database, Susan Johnson PTA NPI is 1417152109, taxonomy code is 225200000X and license number is 04155, license state is located at Ohio. Susan Johnson PTA physically located at 3420 Holloway St, Durham NC, 27703-3522. NPI Number Susan Johnson PTA has the Individual type.

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1417152109 NPI number is provided on an as is basis without warranty of any kind. 1417152109 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Johnson PTA are for informational purposes only.