Individual
SUSAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3420 HOLLOWAY ST, DURHAM, NC 27703-3522
(919) 596-9464
Mailing address
220 CHERRYLAUREL DR, YOUNGSVILLE, NC 27596-7133
(567) 203-1971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04155
OH
225200000X
Physical Therapy Assistant
5240
NC
Other
Enumeration date
06/20/2007
Last updated
09/28/2015
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