| NPI | 1427255405 |
|---|---|
| Former Name | SHELLA JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 23052) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 14164) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2019-05-13 |