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Individual

TAMMIE KELLER JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, MS, ATP

Contact information

Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(714) 642-3687
Mailing address
255 E BONITA AVE, POMONA, CA 91767-1933
(909) 596-7733

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary

Other

Enumeration date
07/08/2018
Last updated
07/08/2018
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