Individual
MARIA LESLIE JOHNSON-SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3200 G ST, SOUTH SIOUX CITY, NE 68776-3339
(402) 494-3043
Mailing address
1000 S MULBERRY ST, SIOUX CITY, IA 51106-1326
(712) 266-4118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
748
NE
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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