Individual
MRS. PATRICIA MARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 TULPEHOCKEN RD, WYOMISSING, PA 19610-1240
(610) 478-0402
(610) 478-0354
Mailing address
141 DANIEL BOONE RD, BIRDSBORO, PA 19508-8729
(610) 404-4272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002442L
PA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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