Individual
PATRICK LOUIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 LYNBROOK BLVD, MADISON, AL 35758-8137
(256) 975-2678
Mailing address
103 LYNBROOK BLVD, MADISON, AL 35758-8137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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