| NPI | 1043947153 |
|---|---|
| Former Name | ALEXIA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: FL PT38861) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-01-03 |