Individual
MS. CONNIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 NATIONAL DR, SUITE 110, RALEIGH, NC 27612-4070
(919) 781-9965
Mailing address
29 S QUENTIN AVE, DAYTON, OH 45403-2260
(919) 781-9565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3971
NC
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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