Individual
MARILYN ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2525 SW 75 AVENUE, MIAMI, FL 33155
(305) 260-1842
(304) 267-1841
Mailing address
1315 LISBON STREET, CORAL GABLES, FL 33134-2223
(305) 774-9183
(305) 774-9183
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000333
FL
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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