GWANETIA M JOHNSON

COLUMBIA, SC
NPI1023152543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1960)
Enumeration Date2007-02-17
Last Update Date2007-07-08
Business Address
-- GWANETIA M JOHNSON PTA
2601 FOREST DR
COLUMBIA, SC 29204-2363
Phone number: 803-765-7127
Mailing Address
-- GWANETIA M JOHNSON PTA
504 CAMBOUT ST
COLUMBIA, SC 29210-7121
Phone number: 803-238-8788
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