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Challon Johnson

Physical Therapy Assistant in Tampa, FL. Individual provider (NPI-1).

NPI number1407501034
StatusActive
Last updated in NPPESFeb 11, 2022

Details

NPI
1407501034
Entity type
Individual (NPI-1)
Name
Challon Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2022
Certification date
Feb 11, 2022
Last updated
Feb 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

15002 Hutchison Rd
Tampa, FL 33625-5509

Phone 813-960-1969

Mailing address

8207 N Ola Ave
Tampa, FL 33604-2925

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