Individual
SALLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., PTA
Contact information
Practice address
1001 M 28 E STE 8, MARQUETTE, MI 49855-9322
(906) 273-1525
(906) 273-1535
Mailing address
55 STATE HIGHWAY M35, NEGAUNEE, MI 49866-9544
(906) 202-0893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004682
MI
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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