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Individual

TOMMIE E JOHNSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1420 US HIGHWAY 271 N STE A, GILMER, TX 75644-4132
(903) 797-2729
(903) 797-2729
Mailing address
1420 US HIGHWAY 271 N. SUITE A, GILMER, TX 75644-4132
(903) 797-2729
(903) 797-2729

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
LMT MT108519
TX
225400000X
Rehabilitation Practitioner
Primary
LMT MT108519
TX
225700000X
Massage Therapist
LMT MT108519
TX
225800000X
Recreation Therapist
LMT MT108519
TX
225X00000X
Occupational Therapist
LMT MT108519
TX

Other

Enumeration date
03/09/2010
Last updated
03/24/2010
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