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Individual

MISS MEGAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3104 PINE TOP RD, LONDON, KY 40741-6202
(606) 672-4546
(606) 672-4547
Mailing address
3104 PINE TOP RD, LONDON, KY 40741-6202
(606) 862-8333
(606) 862-8618

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02528
KY

Other

Enumeration date
02/02/2011
Last updated
02/02/2011
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