Individual
MEGAN LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 RENEGAR WAY, ST SIMONS ISLAND, GA 31522-8840
(912) 291-2029
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003351
GA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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