Individual
MRS. SHANNA D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
115 HUNT RD, BENTON, LA 71006-3469
(318) 230-2537
(318) 965-4466
Mailing address
115 HUNT RD, BENTON, LA 71006-3469
(318) 965-3990
(318) 965-4466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01146
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861404683
NPI-ROLLING REHAB, LLC
LA
Enumeration date
04/20/2007
Last updated
07/08/2007
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