Organization
AMERSTON PHYSICIAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY A JOHNSTON PTA (MANAGING MEMBER)
(918) 721-5397
Entity
Organization
Contact information
Practice address
320 S COKER ST, GREENWOOD, AR 72936-5420
(918) 721-5397
(479) 996-4023
Mailing address
320 S COKER ST, GREENWOOD, AR 72936-5420
(918) 721-5397
(479) 996-4023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/29/2013
Last updated
08/14/2014
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