Individual
JENNIFER MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 1ST ST N STE 200, JACKSONVILLE BEACH, FL 32250-6939
(904) 241-8332
Mailing address
55 SPRINGHILL DR W, GREENBRIER, AR 72058-9237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2087240
TX
225200000X
Physical Therapy Assistant
Primary
2381
AR
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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