Individual
MRS. STEPHANIE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531707
BLUE CROSS&BLUE SHIELD
AL
Enumeration date
08/08/2006
Last updated
08/07/2018
Update your record
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