Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6624 SW 2ND CT, PEMBROKE PINES, FL 33023-1212
(954) 593-7795
Mailing address
6624 SW 2ND CT, PEMBROKE PINES, FL 33023-1212
(954) 593-7795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17682
FL
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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