NPI 1003060666

Mary W Johnson, PT

Practitioner Physical Therapist Athens, GA

Practice location

Address: 665 Gaines School Rd, Athens, GA 30605-3127
Phone: (706) 369-8115

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT006469 (GA)

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Registry record

NPI: 1003060666
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2008
Record last updated: 10 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.