Individual
MR. PATRICK BROOKS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
113 LOMA LINDA DR, CLEVELAND, GA 30528-3164
(706) 969-0978
Mailing address
113 LOMA LINDA DR, CLEVELAND, GA 30528-3164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002162
GA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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