Individual
ABIGAIL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1348 BASS PRO DR, SAINT CHARLES, MO 63301-2461
(636) 757-5075
(636) 757-5076
Mailing address
701 LIBERTY ST, SMITHVILLE, MO 64089-9245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2024004733
MO
225100000X
Physical Therapist
CP035656T
VA
Other
Enumeration date
02/06/2024
Last updated
05/05/2026
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