Individual
SUSAN GAIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1619 S KENTUCKY ST STE F600, AMARILLO, TX 79102-2215
(806) 373-2200
Mailing address
1619 S KENTUCKY ST STE F600, AMARILLO, TX 79102-2215
(806) 373-2200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2028066
TX
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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