Individual
AMY C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9901 N. KNOXVILLE AVE., STE D, PEORIA, IL 61515-1433
(309) 243-1989
(309) 243-8138
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010379
IL
Other
Enumeration date
03/21/2006
Last updated
04/11/2012
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