Individual
DANIELLE F JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 N BRYANT AVE, EDMOND, OK 73034-6273
(702) 338-9733
Mailing address
200 N BRYANT AVE, EDMOND, OK 73034-6273
(702) 338-9733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0855
NV
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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