Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 REBEL CIR, HIGHLAND, AR 72542-9169
(870) 257-3118
Mailing address
109 GOINGS RIDGE RD, HARDY, AR 72542-8810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3865
AR
Other
Enumeration date
08/28/2014
Last updated
08/21/2025
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