Individual
MRS. MONICA SHEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
211 HIGHWAY 7 S, OXFORD, MS 38655-8140
(662) 281-8984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2765
MS
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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