Individual
MR. MICHAEL WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
363 MISKELLEY DR, CARBON HILL, AL 35549-3026
(205) 924-4887
Mailing address
363 MISKELLEY DR, CARBON HILL, AL 35549-3026
(205) 924-4887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3444
AL
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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