Individual
ANNA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1504 E SOUTH ST, MOUNT AYR, IA 50854-2260
(615) 896-6400
Mailing address
1785 150TH ST, CORYDON, IA 50060-8911
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00139
IA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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