Individual
SOPHIA LOREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
1101 HIGHWAY K, O FALLON, MO 63366-8431
(636) 379-6363
Mailing address
504 BROOKSIDE FOREST CT, O FALLON, MO 63366-5091
(636) 345-7828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2023047998
MO
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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