Individual
JOE DOUGLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3101 PLUMAS ST, RENO, NV 89509-4515
(775) 829-7220
Mailing address
180 QUARTERHORSE CIR, RENO, NV 89508-9511
(775) 313-5556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0418
NV
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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