KALISSA J JOHNSON

VINCENNES, IN
NPI1376739318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06002492A)
Enumeration Date2007-09-24
Last Update Date2007-09-24
Business Address
-- KALISSA J JOHNSON PTA
2121 WILLOW ST
VINCENNES, IN 47591-5355
Phone number: 812-882-1141
Mailing Address
-- KALISSA J JOHNSON PTA
7300 E INDIANA ST SUITE 102
EVANSVILLE, IN 47715-2794
Phone number: 812-476-0409
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