Individual
MS. ANDREA JOELLEN JOHNSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
457 BENTLEY LOOP, JENKINS, KY 41537-9004
(606) 832-1471
(606) 832-0397
Mailing address
582 WB HOLW, JENKINS, KY 41537-9147
(606) 633-3554
(606) 633-3627
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01754
KY
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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