Individual
ANNA DARIA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
300 FIRST EXECUTIVE AVE STE C, SAINT PETERS, MO 63376-1655
(636) 939-9540
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021032146
MO
Other
Enumeration date
08/16/2021
Last updated
03/24/2025
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