Individual
LAUREN A JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1968 HAWKS LN NE, BROOKHAVEN, GA 30329-2283
(404) 778-6330
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
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
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