Individual
JAMIE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3304 JOHN PORTER DR, KILLEEN, TX 76543-2755
(254) 630-0551
Mailing address
3304 JOHN PORTER DR, KILLEEN, TX 76543-2755
(254) 630-0551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058053
TX
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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