Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
(800) 521-5060
Mailing address
7319 TROPICAL WAY, SAVANNAH, GA 31410-2400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004146
GA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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