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SCOTT JOHNSON PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699145359

Individual Registrant:
 SCOTT  JOHNSON PTA
Gender: M
Sole Proprietor

Location and contact information for practice:
1 WORCESTER DR  BELLA VISTA, AR 72714-4327 US
Tel: 479-644-7551  Fax: --

Contact information for business:
1 WORCESTER DR  BELLA VISTA, AR 72714-4327 US
Tel: 479-644-7551  Fax: --

Registration Information:
NPI: 1699145359
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
AR4007

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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