Individual
MS. SARAH MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
375 S 11TH ST, CLINTON, IN 47842-1053
(765) 832-2491
Mailing address
4881 E BRENTWOOD AVE, TERRE HAUTE, IN 47805-9791
(812) 249-9665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003867A
IN
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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