Individual
ANDREA LANGSTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12181 COUNTY LINE RD STE 150, MADISON, AL 35758-7740
(256) 489-3760
(256) 713-1873
Mailing address
1267 ENTERPRISE WAY NW STE B, HUNTSVILLE, AL 35806-4472
(256) 713-1872
(256) 713-1873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6042
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051113156
BCBS OF ALABAMA
AL
01
—
51113159
BCBS OF AL
AL
01
—
CJ5487
MEDICARE RR
AL
Enumeration date
06/09/2009
Last updated
07/12/2021
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