Individual
MRS. CYNTHIA LEA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
940 N JEFFERSON AVE, SPRINGFIELD, MO 65802-3718
(417) 523-7500
(417) 523-7595
Mailing address
955 E NOTTINGHAM LN, SPRINGFIELD, MO 65810-2851
(417) 823-9072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
061115151919754
MO
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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