Individual
MRS. KATHERINE MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
701 MONROE ST NW, RUSSELLVILLE, AL 35653-1358
(256) 460-4597
Mailing address
3909 HIGHWAY 21, RUSSELLVILLE, AL 35653-7136
(256) 356-8782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-82
AL
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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