Individual
MISS JENNIFER MARLAND JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
118 HERRON ST, FT OGLETHORPE, GA 30742-3126
(706) 861-7471
Mailing address
118 HERRON ST, FT OGLETHORPE, GA 30742-3126
(706) 861-7471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007414
GA
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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