Individual
JORDYN GIANNIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 MOSLEY DR, THOMASVILLE, AL 36784-3334
(334) 636-5614
Mailing address
140 BLACKBERRY LN APT 904, ALEXANDRIA, AL 36250-4912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
57381
AL
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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