Individual
MRS. JEAN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1397 SILVER BLUFF RD STE 100, AIKEN, SC 29803-9784
(803) 220-1073
Mailing address
105 HIGHCREST LN, LEXINGTON, SC 29072-7737
(321) 263-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9958
SC
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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