| NPI | 1639258817 |
|---|---|
| Former Name | LEE ANN JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC P11378) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 8571) |
| 225100000X Physical Therapist (Licence: PA PT011203L) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-04-05 |