Individual
MR. RONALD JAMES JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5226 GLOW DR, CROSS LANES, WV 25313-1173
(910) 728-6891
Mailing address
769 CHERAW RD, HAMLET, NC 28345-7158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002636
WV
225200000X
Physical Therapy Assistant
1983
NC
Other
Enumeration date
06/23/2008
Last updated
10/21/2023
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