Individual
MRS. JESSICA FRANCES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 BENTON ST, SENECA, SC 29672-6883
(864) 888-4114
(864) 888-4233
Mailing address
118 AUSTON WOODS CIR, APT. M, EASLEY, SC 29640-4402
(864) 680-5714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2855
SC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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