Individual
DIONE JEANNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3140 WATERMAN WAY, TAVARES, FL 32778-5252
(352) 253-3892
(352) 253-3809
Mailing address
3140 WATERMAN WAY, TAVARES, FL 32778-5252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35032
FL
Other
Enumeration date
04/13/2020
Last updated
05/22/2020
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