Individual
TWANETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 SOUTH WACKER DRIVE, 475, CHICAGO, IL 60606
(312) 416-3804
Mailing address
125 S WACKER DR, CHICAGO, IL 60606-4424
(312) 416-3804
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006531
IL
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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