NPI 1306103387
Amanda Johnson
Practice location
- Address
- 1000 McKeen Pl, Monroe, LA 71201-4406
- Phone
- (318) 388-3734
- Mailing address
- 4109 Highway 98 W, Summit, MS 39666-9132
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1306103387
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Apr 2012
- Record last updated
- 16 Apr 2012
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.