KENNETH EARL JOHNSON

APACHE JUNCTION, AZ
NPI1437573912
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  10644A)
Enumeration Date2014-02-05
Last Update Date2014-02-05
Business Address
Mr. KENNETH EARL JOHNSON PTA
305 N PLAZA DR
APACHE JUNCTION, AZ 85120-5505
Phone number: 480-982-7794
Mailing Address
Mr. KENNETH EARL JOHNSON PTA
305 N PLAZA DR
APACHE JUNCTION, AZ 85120-5505
Phone number: 480-982-7794
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