Individual
CARMEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-4100
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
085584
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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