Individual
MS. ANDRIA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
724 24TH AVE NW STE 100, NORMAN, OK 73069-6214
(405) 447-1571
(405) 447-1579
Mailing address
620 SW 157TH ST, OKLAHOMA CITY, OK 73170-7685
(405) 831-6816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1221
OK
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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