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Individual

SAMANTHA ODESSA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
707 N ALVERNON WAY STE 203, TUCSON, AZ 85711-1847
(520) 462-0235
Mailing address
9225 E TANQUE VERDE RD APT 4203, TUCSON, AZ 85749-7707
(740) 497-3100

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30213
AZ

Other

Enumeration date
01/29/2020
Last updated
01/29/2020
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