SHIRLEY JEAN JOHNSON

BLOOMINGTON, IN
NPI1750376661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003063A)
Enumeration Date2005-09-16
Last Update Date2007-07-08
Business Address
SHIRLEY JEAN JOHNSON PTA
2499 W COTA DR
BLOOMINGTON, IN 47403-4217
Phone number: 812-337-0210
Mailing Address
SHIRLEY JEAN JOHNSON PTA
PO BOX 5635 ATTN: MARIA MITCHELL
BLOOMINGTON, IN 47407
Phone number: 812-337-5003
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