Individual
MS. PATRICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 MILLERSTOWN RD, CLARKSON, KY 42726-8126
(270) 242-7461
Mailing address
1360 MILLERSTOWN RD, CLARKSON, KY 42726-8126
(270) 242-7461
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000038608
KY
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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