Individual
MRS. BETTYE JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 305, ORHOPAEDIC SPECIALISTS OF NORTH CAROLINA, PA, RALEIGH, NC 27614
(919) 562-9410
(919) 562-9425
Mailing address
311 RIGGSBEE FARM DR, CARY, NC 27519-7354
(919) 319-0952
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
244
NC
Other
Enumeration date
03/09/2011
Last updated
12/31/2014
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