Individual
MS. DANIELLE VIRGINIA JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, AAS
Contact information
Practice address
101 S SAINTS BLVD STE 101, EDMOND, OK 73034-3082
(405) 359-1864
Mailing address
14805 RAMBLING CREEK CIR, OKLAHOMA CITY, OK 73142-9714
(435) 232-7668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3914
OK
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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