Individual
REGINA GAYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4825 MACCORKLE AVE SW STE F, SOUTH CHARLESTON, WV 25309-1365
(304) 346-9667
Mailing address
131 OVERLOOK DR, HURRICANE, WV 25526-9318
(304) 573-3090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002433
WV
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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