Individual
ANDREA SANTOS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
1212 E COUNTY ROAD 600 N, SEYMOUR, IN 47274-8542
(812) 498-9605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011346A
IN
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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