Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1806 FAIRWAY LN, PARAGOULD, AR 72450-9698
(870) 476-5240
Mailing address
1806 FAIRWAY LN, PARAGOULD, AR 72450-9698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3505
AR
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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