Individual
MS. DONNA JEANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 DALLAS ST, WACO, TX 76704-1711
(254) 752-9774
Mailing address
2501 MITCHELL AVE, WACO, TX 76708-2711
(254) 227-3945
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
1196679
TX
2251G0304X
Geriatric Physical Therapist
Primary
4512
CO
Other
Enumeration date
10/08/2009
Last updated
01/17/2019
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