| NPI | 1063509933 |
|---|---|
| Other Name | JAMIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 5501011924) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011924) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2009-11-23 |