Individual
CONSTANCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15210 I-45 S, SUITE 108, CONROE, TX 77384
(832) 702-7255
Mailing address
79 CANDLE PINE PL, THE WOODLANDS, TX 77381-6437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
1051324
TX
Other
Enumeration date
07/21/2015
Last updated
05/22/2020
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