Individual
ELIZABETH FAE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2544 OLD HILLCREST RD, MARSHFIELD, MO 65706-9164
(417) 576-5340
Mailing address
2544 OLD HILLCREST RD, MARSHFIELD, MO 65706-9164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002027724
MO
Other
Enumeration date
03/23/2007
Last updated
06/09/2009
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