Individual
ANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E. 10TH ST, ATLANTIC, IA 50022
(712) 243-3250
Mailing address
62064 GREAT RIVER RD, ATLANTIC, IA 50022-8363
(712) 249-5593
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
084233
IA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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