DERRICK JOHNSTON

PLANO, TX
NPI1669182457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2160493)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
DERRICK JOHNSTON
2513 ELLIS CT
PLANO, TX 75075-3553
Phone number: 217-801-3581
Mailing Address
DERRICK JOHNSTON
2513 ELLIS CT
PLANO, TX 75075-3553
Phone number: 217-801-3581
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