Individual
ALEX JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
580 ROBERT DANIEL DR, DANIEL ISLAND, SC 29492-7448
(843) 566-1000
Mailing address
7857 MONTVIEW RD, NORTH CHARLESTON, SC 29418-2258
(843) 568-9092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3508
SC
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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