Male or Other

Mr. Patrick B. Johnson PTA

Physical Therapy Assistant in Cleveland, GA(View on Map)

Full Name

Mr. Patrick Brooks Johnson PTA

NPI Number

1699058610

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/26/2011

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

PTA002162

Contact
Information

Purpose

Mailing
Location

Address

113 LOMA LINDA DR
113 LOMA LINDA DR

City

Cleveland
Cleveland

State

GA
GA

Postal Code

30528-3164
30528-3164

Country

US
US

Telephone Number

N/A
(706) 969-0978

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

Data last updated by provider on 09/26/2011

Provider Address

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