EBONY L JOHNSON

JEFFERSON CITY, MO
NPI1336798511
Former NameEBONY L MARSHALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2019020760)
Enumeration Date2019-09-10
Last Update Date2019-09-10
Business Address
EBONY L JOHNSON PT
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070
Mailing Address
EBONY L JOHNSON PT
1115 FAIRGROUNDS RD
JEFFERSON CITY, MO 65109-5443
Phone number: 573-634-3070