Jade Johnson, PTA
Physical Therapy Assistant in Winter Haven, FL. Individual provider (NPI-1).
NPI number1962058008
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1962058008
- Entity type
- Individual (NPI-1)
- Name
- Jade Johnson
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Last updated
- Aug 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA29010 | FL | Yes |
Practice location
3050 Woodmont AveWinter Haven, FL 33884-3800
Phone 727-803-1102
Mailing address
260 1st Ave S Ste 200Saint Petersburg, FL 33701-4364
Phone 727-803-1102
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All 45 Physical Therapy Assistant providers in Winter Haven · All 2,525 providers in Winter Haven
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