RICKEY R. JOHNSON

COLUMBIA, SC
NPI1215592621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  PTA4136)
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
RICKEY R. JOHNSON PTA
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
Mailing Address
RICKEY R. JOHNSON PTA
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: