THIA MIRANDA JOHNSON

PESHTIGO, WI
NPI1568910347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2514)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
THIA MIRANDA JOHNSON PTA
701 WILLOW ST
PESHTIGO, WI 54157-1165
Phone number: 715-582-3962
Mailing Address
THIA MIRANDA JOHNSON PTA
701 WILLOW ST
PESHTIGO, WI 54157-1165
Phone number: 711-558-2014
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