Individual
REGINA KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
225 MARKET ST, BROOKVILLE, OH 45309-1818
(937) 833-5711
Mailing address
225 MARKET ST, BROOKVILLE, OH 45309-1818
(937) 833-5711
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
33006487
OH
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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