MARY JOHNSON

MERIDIAN, ID
NPI1598432718
Former NameMARY PALMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  7067)
Enumeration Date2021-08-25
Last Update Date2021-08-25
Business Address
MARY JOHNSON PT
1286 E TUTTLE ST
MERIDIAN, ID 83646-5932
Phone number: 801-872-3204
Mailing Address
MARY JOHNSON PT
1286 E TUTTLE ST
MERIDIAN, ID 83646-5932
Phone number: 209-969-2426