Individual
MRS. AMANDA JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
805 EAST HWY 72, FREDERICKTOWN, MO 63645-7491
(573) 783-8001
(573) 783-6717
Mailing address
805 EAST HWY 72, FREDERICKTOWN, MO 63645-7491
(573) 783-8001
(573) 783-6717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009034591
MO
Other
Enumeration date
10/22/2010
Last updated
10/25/2018
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