Organization
JOHNSON ATHLETIC ADVANTAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY JOHNSON DPT (OWNER/PHYSICAL THERAPIST)
(214) 383-0623
Entity
Organization
Contact information
Practice address
820 S ALMA DR STE 110, ALLEN, TX 75013-3810
(214) 383-0623
Mailing address
820 S ALMA DR, STE. 110, ALLEN, TX 75013-3808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1152858
TX
Other
Enumeration date
07/03/2012
Last updated
08/22/2013
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