Individual
MRS. DONNA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-6433
(336) 940-6235
Mailing address
6233 E OLD US 421 HWY, EAST BEND, NC 27018-8725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3650
NC
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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