Individual
SCOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 WORCESTER DR, BELLA VISTA, AR 72714-4327
(479) 644-7551
Mailing address
1 WORCESTER DR, BELLA VISTA, AR 72714-4327
(479) 644-7551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4007
AR
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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