Individual
SHAWNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1919 CHARMONT DR, CHARLESTON, AR 72933-8910
(479) 965-6752
Mailing address
PO BOX 871, CHARLESTON, AR 72933-0871
(479) 965-6752
(479) 965-2612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2773
AR
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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