Individual
DAVID W JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4104
(423) 844-4149
Mailing address
209 BELMONT DR, BRISTOL, TN 37620-4923
(423) 968-4020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2851
TN
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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