Individual
JESSICA ROSE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 W COMMUNITY DR, MUNCIE, IN 47304-5459
(765) 286-9200
Mailing address
2862 S BUTTERNUT CREEK DR, PORTLAND, IN 47371-8739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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