Individual
MRS. ANNE CAROLINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 423-6336
Mailing address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006602A
IN
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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