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Individual

MS. ANDREA J. JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
245 TERRACINA BLVD, STE., 105, REDLANDS, CA 92373-4852
(909) 792-9737
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 12650
CA

Other

Enumeration date
06/10/2006
Last updated
07/08/2007
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