Individual
DR. ELLIE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
233 BELL FORK RD, JACKSONVILLE, NC 28540-6471
Mailing address
233 BELL FORK RD, JACKSONVILLE, NC 28540-6471
(217) 638-2037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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