Individual
BEVERLY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2443 WATKINS GROVE PT, GREENSBORO, NC 27406-9034
(508) 353-1872
Mailing address
2443 WATKINS GROVE PT, GREENSBORO, NC 27406-9034
(508) 353-1872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
925
MA
225200000X
Physical Therapy Assistant
Primary
A4491
NC
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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