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Individual

BRANDY MICHELLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.T.A

Contact information

Practice address
9245 WEDD ST, OVERLAND PARK, KS 66212-4950
(913) 851-0429
Mailing address
9245 WEDD ST, OVERLAND PARK, KS 66212-4950
(913) 851-0429

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01783
KS

Other

Enumeration date
01/21/2008
Last updated
01/21/2008
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