Individual
ALISSA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 S WHITE OAK RD, MARSHFIELD, MO 65706-2231
(417) 859-3701
Mailing address
800 S WHITE OAK RD, MARSHFIELD, MO 65706-2231
(417) 859-3701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002000097
MO
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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