Individual
MR. ADAM WEBSTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2907 WILLIAMSON CO PARKWAY, MARION, IL 62959
(618) 998-9894
Mailing address
500 N FAIR ST, APT A, MARION, IL 62959
(618) 751-2486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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