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Douglas Johnson

Physical Therapy Assistant in Heber Springs, AR. Individual provider (NPI-1).

NPI number1902542004
StatusActive
Last updated in NPPESMay 11, 2022

Details

NPI
1902542004
Entity type
Individual (NPI-1)
Name
Douglas Johnson
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2022
Certification date
May 11, 2022
Last updated
May 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA4559–Yes

Practice location

201 S 7th St
Heber Springs, AR 72543-3718

Phone 501-362-8118 · Fax 501-362-8119

Mailing address

201 S 7th St
Heber Springs, AR 72543-3718

Phone 501-362-8118 · Fax 501-362-8119

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