Individual
MRS. KRISTINA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1052 MAPLE DR, MORGANTOWN, WV 26505-2815
(304) 599-2600
Mailing address
1052 MAPLE DR, MORGANTOWN, WV 26505-2815
(304) 599-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002875
WV
Other
Enumeration date
09/09/2010
Last updated
03/05/2014
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