Individual
ROY JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 OAK MANOR CIR, ORLANDO, FL 32825-6458
(407) 247-3791
Mailing address
727 OAK MANOR CIR, ORLANDO, FL 32825-6458
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23078
FL
Other
Enumeration date
07/24/2016
Last updated
07/05/2023
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