Individual
KATHLEEN O'GARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1260 INNOVATION PKWY STE 100, GREENWOOD, IN 46143-3602
(317) 884-5200
Mailing address
1260 INNOVATION PKWY STE 100, GREENWOOD, IN 46143-3602
(317) 884-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5002913A
IN
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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