Individual
MARQUITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD # 125, ATLANTA, GA 30328-6773
Mailing address
PO BOX 117, GRAYSON, GA 30017-0002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003891
GA
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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