| NPI | 1730192642 |
|---|---|
| Former Name | CYNTHIA L JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 2991) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 9711000027) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-03-25 |