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Individual

MICHELLE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1206 N TRAVIS ST, LIBERTY, TX 77575-3540
(979) 820-1775
Mailing address
15316 HUMMINGBIRD ST, BAYTOWN, TX 77523-9660
(979) 820-1775

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2119972
TX

Other

Enumeration date
02/08/2022
Last updated
02/08/2022
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