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Pamela Johnson, PTA

Physical Therapy Assistant in Lubbock, TX. Individual provider (NPI-1).

NPI number1326328014
StatusActive
Last updated in NPPESAug 25, 2011

Details

NPI
1326328014
Entity type
Individual (NPI-1)
Name
Pamela Johnson
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2011
Last updated
Aug 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA2055330TXTXYes

Practice location

2431 S Loop 289
Lubbock, TX 79423-1519

Phone 806-771-8008 · Fax 806-771-8009

Mailing address

2431 S Loop 289
Lubbock, TX 79423-1519

Phone 806-771-8008 · Fax 806-771-8009

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