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1346833514
GLEN THOMAS JOHNSON
SAN ANTONIO, TX
NPI
1346833514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2118597)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
Mr. GLEN THOMAS JOHNSON PTA
311 W NOTTINGHAM DR
SAN ANTONIO, TX 78209-1887
Phone number: 210-824-2314
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Mailing Address
Mr. GLEN THOMAS JOHNSON PTA
311 W NOTTINGHAM DR
SAN ANTONIO, TX 78209-1887
Phone number: 210-824-2314
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