Individual
TAMMARRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
2770 SPARTA RD UNIT 14, CHULA VISTA, CA 91915-2698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52222
CA
Other
Enumeration date
04/10/2024
Last updated
06/05/2024
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