Individual
BRITTANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1249 GRASS RD, STARKVILLE, MS 39759-9483
(662) 324-2027
Mailing address
1249 GRASS RD, STARKVILLE, MS 39759-9483
(662) 324-2027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002698
GA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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