Individual
ERICA N JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 E 29TH ST N STE 205, WICHITA, KS 67226-2183
(316) 219-4758
Mailing address
2932 N TERRACE DR, WICHITA, KS 67220-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T-02918
KS
Other
Enumeration date
06/06/2011
Last updated
07/28/2014
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