Individual
COURTNEY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 PARK AVE, HAZARD, KY 41701-9548
(606) 439-2306
Mailing address
390 PARK AVE, HAZARD, KY 41701-9548
(606) 439-2306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02907
KY
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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