Individual
ANGELA DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
400 NATURAL RESOURCES DR, LITTLE ROCK, AR 72205-1501
(501) 687-2000
(501) 687-1999
Mailing address
400 NATURAL RESOURCES DR, LITTLE ROCK, AR 72205-1501
(501) 687-2000
(501) 687-1999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2527
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y393
ARBCBS
AR
Enumeration date
03/26/2007
Last updated
07/08/2007
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