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1265906812
ASTRID JOHNSON
KISSIMMEE, FL
NPI
1265906812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA25031)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
ASTRID JOHNSON PTA
2984 MONICA TER
KISSIMMEE, FL 34744-5116
Phone number: 407-433-5955
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Mailing Address
ASTRID JOHNSON PTA
2984 MONICA TER
KISSIMMEE, FL 34744-5116
Phone number: 407-433-5955
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