Individual
KELSEY SUSANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 FOUNTAIN DR STE E, SNELLVILLE, GA 30078-2900
(770) 676-7028
Mailing address
2121 FOUNTAIN DR STE E, SNELLVILLE, GA 30078-2900
(770) 676-7028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014281
GA
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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