Individual
MS. SHANDALL LAMIKA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-7000
Mailing address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4545
NC
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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