Individual
MRS. KARA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168147
PHYSICAL THERAPY STATE LICENSE NUMBER
TX
01
—
4335
PHYSICAL THERAPY STATE LICENSE NUMBER
OK
Enumeration date
06/17/2009
Last updated
10/07/2015
Update your record
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