Individual
BRANDEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(402) 891-1118
Mailing address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(402) 891-1118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1349
NE
225200000X
Physical Therapy Assistant
5996
NC
225200000X
Physical Therapy Assistant
A-1132
NM
225200000X
Physical Therapy Assistant
A-1912
MN
225200000X
Physical Therapy Assistant
P160554696
WA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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