Gayle A Johnson, PTA
Physical Therapy Assistant in Cortland, OH. Individual provider (NPI-1).
NPI number1740626035
StatusActive
Last updated in NPPESMay 14, 2013
Details
- NPI
- 1740626035
- Entity type
- Individual (NPI-1)
- Name
- Gayle A Johnson
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2013
- Last updated
- May 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA00854 | OH | Yes |
| 225200000X | Physical Therapy Assistant | TE001386L | PA |
Practice location
260 Old Oak DrCortland, OH 44410-1122
Phone 330-638-1920
Mailing address
260 Old Oak DrCortland, OH 44410-1122
Phone 330-638-1920
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