Individual
LAUREN A JOHNSTON
Active
Individual
LAUREN A JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7248422710
CERTIFIED STRENGTH AND CONDITIONING SPECIALIST
—
01
—
PT016072
PT LICENSE
GA
Enumeration date
08/10/2022
Last updated
08/10/2022
Update your record
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