Individual
MARLIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4714 N HABANA AVE APT 3004, TAMPA, FL 33614-7141
(813) 727-0734
Mailing address
4714 N HABANA AVE APT 3004, TAMPA, FL 33614-7141
(813) 727-0734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27014
FL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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