Individual
CAITLIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1530 BROAD AVE, GULFPORT, MS 39501-3601
(228) 864-6544
Mailing address
1955 POPPS FERRY RD APT Q2088, BILOXI, MS 39532-2023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5815
MS
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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