Individual
MS. COLLEEN RUTH JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3846 DESTIN LN, NORTHPORT, AL 35473-2450
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH105
AL
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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