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Individual

MARGUERITE MEGHAN ROSE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LAT, ATC

Contact information

Practice address
275 S ITHAN AVE, BRYN MAWR, PA 19010-1099
(610) 801-1221
Mailing address
142 STRASSBURGER RD, PERKASIE, PA 18944-1925
(267) 374-3990

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007525
PA

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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