Individual
ANGELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 VILLA DR, DAPHNE, AL 36526-4653
(251) 621-4466
Mailing address
3720 DAUPHIN ST, MOBILE, AL 36608-1725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
18114/PTA4044
AL
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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