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Individual

PAIGE MICHELLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 675-6421
Mailing address
154 BROMES WAY, GREENVILLE, SC 29607-4668
(864) 906-1762

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12039
SC

Other

Enumeration date
10/03/2023
Last updated
10/03/2023
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