Individual
MRS. BRIDGET NICHOL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 TIGER BLVD., BENTONVILLE, AR 72712-2011
(479) 254-8790
Mailing address
12 CROMARTY DR, BELLA VISTA, AR 72715-4202
(479) 531-1823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2438
AR
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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