Individual
MRS. KIMBERLAND TAYLOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
214 JONES RD, ELKHART, TX 75839-7605
(903) 764-2291
Mailing address
214 JONES RD, ELKHART, TX 75839-7605
(903) 764-2291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2065259
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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