Individual
ANGELA CRYSTELL TODD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1056 TPC BLVD, MURRELLS INLET, SC 29576-8912
(843) 333-4820
Mailing address
1338 LIMESTONE ST, MURRELLS INLET, SC 29576-6525
(843) 333-4820
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3301
SC
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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