Individual
KAITLYN MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
(770) 505-3595
Mailing address
3044 DUE WEST RD, DALLAS, GA 30157-2125
(770) 443-9672
(770) 505-3595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013885
GA
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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