Individual
MS. SARA MARIE JOHNSGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
112 S FULTON ST, CLARKSVILLE, AR 72830-3612
(479) 754-4060
Mailing address
108 LED LN, DOVER, AR 72837-8229
(479) 747-8794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2726
AR
Other
Enumeration date
08/21/2013
Last updated
10/28/2024
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