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Individual

ROGER D JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8814 PADIE SMT, SAN ANTONIO, TX 78251-2585
(210) 831-9281
(210) 579-2113
Mailing address
8814 PADIE SMT, SAN ANTONIO, TX 78251-2585
(210) 831-9281
(210) 579-2113

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091671
TX
246Z00000X
Other Specialist/Technologist
ATP87911
TX

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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