Individual
JILLIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 S MCCARRAN BLVD STE B10, RENO, NV 89509-6120
(775) 323-5458
Mailing address
6490 S MCCARRAN BLVD STE B10, RENO, NV 89509-6120
(775) 323-5458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2803
NV
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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