Individual
DREW ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 E BROWN ST, APARTMENT 811, EAST STROUDSBURG, PA 18301-7807
(616) 262-2028
Mailing address
2275 20 MILE RD, P.O. BOX 54, KENT CITY, MI 49330-9492
(616) 262-2028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004540
PA
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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