Individual
MRS. THERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
518 OLD US 221 HWY, RUTHERFORDTON, NC 28139-8670
(828) 748-7561
Mailing address
1065 HOLLIS RD, ELLENBORO, NC 28040-7764
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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