| NPI | 1306000609 |
|---|---|
| Former Name | MICHELLE HOPE JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 1514) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC 2837) |
| 225200000X Physical Therapy Assistant (Licence: FL PTA 20110) | |
| 225200000X Physical Therapy Assistant (Licence: CA 8065) | |
| 225200000X Physical Therapy Assistant (Licence: TX 2065001) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |