Individual
CRYSTAL MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1020 TERMINO AVE, LONG BEACH, CA 90804-4123
(562) 433-6791
Mailing address
11902 BERTHA ST, CERRITOS, CA 90703-7518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53004
CA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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