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1063012193
TIFFANY MONIQUE JOHNSON
SAN ANTONIO, TX
NPI
1063012193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2071599)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
TIFFANY MONIQUE JOHNSON PTA
19138 US HIGHWAY 281 N STE 200
SAN ANTONIO, TX 78258-4988
Phone number: 210-489-7270
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Mailing Address
TIFFANY MONIQUE JOHNSON PTA
149 HIGH OAK
UNIVERSAL CITY, TX 78148-3705
Phone number: 210-995-6790
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