Individual
MRS. CARRIE ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1102 W SOUTH ST, SUITE 10, BENTON, AR 72015-4053
(559) 202-9637
Mailing address
1102 W SOUTH ST, SUITE 10, BENTON, AR 72015-4053
(559) 202-9637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2935
AR
Other
Enumeration date
11/06/2007
Last updated
03/07/2013
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