Individual
ELISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
560 N JUDGE ELY BLVD, ABILENE, TX 79601-5556
(325) 437-8620
Mailing address
560 N JUDGE ELY BLVD, ABILENE, TX 79601-5556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2169840
TX
Other
Enumeration date
04/24/2024
Last updated
04/26/2024
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