Individual
MRS. JUANITA LUCINDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
690 MEDICAL PARK DR, AIKEN, SC 29801-6348
(803) 648-8344
Mailing address
680 MOUNT BEULAH RD, WINDSOR, SC 29856-2620
(803) 645-4756
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2082
SC
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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