Individual
STEPHANIE DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3317 COBBLERS CT, NEW ALBANY, IN 47150-9462
(812) 590-2388
Mailing address
3317 COBBLERS CT, NEW ALBANY, IN 47150-9462
(812) 590-2388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003653A
IN
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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