Female

Mrs. Elaine C. Johnson

Developmental Therapist in Panama City, FL(View on Map)

Full Name

Mrs. Elaine Carter Johnson

NPI Number

1417194812

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/07/2009

Specialties

(Taxonomies)

Code

222Q00000X
103K00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

0-03-1119

Contact
Information

Purpose

Mailing
Location

Address

3106 SARASOTA AVE
3106 SARASOTA AVE

City

Panama City
Panama City

State

FL
FL

Postal Code

32405-5610
32405-5610

Country

US
US

Telephone Number

(850) 819-8486
(850) 819-8486

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/07/2009

Provider Address

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