Individual
LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
406 ROY MARTIN RD STE 9, GRAY, TN 37615-2245
(423) 477-1101
Mailing address
100 LAUREL RD, BRISTOL, TN 37620-6221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15469
TN
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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