Individual
CASEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
214 HOPE LANDING RD, EL DORADO, AR 71730-8725
(870) 862-0500
Mailing address
PO BOX 10215, EL DORADO, AR 71730-0045
(870) 862-0500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2103059
TX
225200000X
Physical Therapy Assistant
Primary
2174
AR
Other
Enumeration date
10/17/2015
Last updated
03/17/2018
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