Individual
DELICIA C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
861 E COOLEY ST STE B, SHOW LOW, AZ 85901-5121
(928) 537-2678
(866) 762-2534
Mailing address
861 E COOLEY ST STE B, SHOW LOW, AZ 85901-5121
(928) 537-2678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-010287
AZ
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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