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Individual
SIMONE JOHNSON-WENSINK
Active
Individual
SIMONE JOHNSON-WENSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1084598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021286201
—
TX
05
—
126129901
—
TX
01
—
8T6693
BLUE CROSS
TX
Enumeration date
02/15/2007
Last updated
12/18/2024
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