Individual
SHAWNA L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
724 24TH AVE NW, NORMAN, OK 73069
(405) 447-1571
Mailing address
P.O. BOX 720883, NORMAN, OK 73070
(918) 916-6063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
739
OK
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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