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Individual

ASTRID JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2984 MONICA TER, KISSIMMEE, FL 34744-5116
(407) 433-5955
Mailing address
2984 MONICA TER, KISSIMMEE, FL 34744-5116
(407) 433-5955

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25031
FL

Other

Enumeration date
01/16/2019
Last updated
01/16/2019
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