Individual
KIMBERLY LITTLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
7913 RED GLOBE CT, SEVERN, MD 21144-1047
(443) 274-2919
Mailing address
7913 RED GLOBE CT, SEVERN, MD 21144-1047
(443) 274-2919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3105
MD
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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