Individual
CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2104 FOUR WINDS DR, CEDAR FALLS, IA 50613-6435
(319) 266-5993
(319) 266-6142
Mailing address
2104 FOUR WINDS DR, CEDAR FALLS, IA 50613-6435
(319) 266-5993
(319) 266-6142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00306
IA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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