REGINALD A JOHNSON

RIDGELAND, MS
NPI1720136245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA2753)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mr. REGINALD A JOHNSON LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Mr. REGINALD A JOHNSON LPTA
3601 9TH ST
MERIDIAN, MS 39307-6508
Phone number: 601-938-3033
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