Individual
WESLEY JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2896 FOSTER DALE CV, GERMANTOWN, TN 38138-7048
(901) 347-9601
Mailing address
2896 FOSTER DALE CV, GERMANTOWN, TN 38138-7048
(901) 347-9601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7992
TN
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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