Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23775 KINGWOOD PLACE DR, KINGWOOD, TX 77339-3817
(281) 619-2179
Mailing address
9494 HUMBLE WESTFIELD RD APT 2434, HUMBLE, TX 77338-5291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2171087
TX
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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