Individual
MRS. NATASHA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
758 BROADWAY, BANGOR, ME 04401-3224
(207) 941-8400
Mailing address
428 WORKS RD, JACKSON, ME 04921-3212
(207) 570-6130
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3954
ME
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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