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Individual

LOREN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
567 HIGHWAY 67 S STE B, POCAHONTAS, AR 72455-3773
(870) 248-1119
Mailing address
PO BOX 2398, MOUNTAIN HOME, AR 72654-2398
(870) 701-5089
(870) 277-0896

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4776
AR

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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