Individual
MRS. MARIA LANA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
107 SPORTSMAN CLUB RD NE, MILLEDGEVILLE, GA 31061-8787
(478) 453-0041
(478) 453-3498
Mailing address
200 OLD COUNTRY CLUB RD NE, MILLEDGEVILLE, GA 31061-7931
(478) 414-1986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5705
GA
Other
Enumeration date
03/07/2007
Last updated
07/09/2007
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