Individual
NORMA JEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BOC ABC
Contact information
Practice address
140 LAKE DR., TIPTONVILLE, TN 38079-1359
(731) 623-4333
(731) 623-4333
Mailing address
140 LAKE DR., TIPTONVILLE, TN 38079-1359
(731) 623-4333
(731) 623-4333
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
TN
Other
Enumeration date
02/20/2007
Last updated
11/30/2013
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