Individual
GINIA PATRICE O'STEEN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, BS,MBA
Contact information
Practice address
36261 OKEFENOKEE DR, FOLKSTON, GA 31537-7853
(912) 496-7396
(912) 496-2087
Mailing address
1320 SPRING LAKE DR, FOLKSTON, GA 31537-8720
(904) 710-1391
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002848
GA
225200000X
Physical Therapy Assistant
PTA16663
FL
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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