Individual
LORI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHAMPIONS CT, GEORGETOWN, TX 78628-1185
(254) 939-0808
Mailing address
PO BOX 568, BELTON, TX 76513-0568
(254) 939-0808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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