Individual
PAIGE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(309) 635-3121
Mailing address
3033 SARNO RD, MELBOURNE, FL 32934-7229
(309) 635-3121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.0013519
CO
225200000X
Physical Therapy Assistant
Primary
PTA26696
FL
Other
Enumeration date
11/24/2015
Last updated
08/15/2016
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