Individual
LAURA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-6323
(410) 448-6338
Mailing address
2200 KERNAN DR, BALTIMORE, MD 21207-6665
(410) 448-6323
(410) 448-6338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1678
MD
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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