ADAM WEBSTER JOHNSON

MARION, IL
NPI1740384759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160004531)
Enumeration Date2006-09-11
Last Update Date2007-07-08
Business Address
Mr. ADAM WEBSTER JOHNSON PTA
2907 WILLIAMSON CO PARKWAY
MARION, IL 62959
Phone number: 618-998-9894
Mailing Address
Mr. ADAM WEBSTER JOHNSON PTA
500 N FAIR ST APT A
MARION, IL 62959
Phone number: 618-751-2486
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