TRACI JOHNSON

FORT WALTON BEACH, FL
NPI1750610762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA21935)
Enumeration Date2009-12-22
Last Update Date2009-12-22
Business Address
-- TRACI JOHNSON PTA
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547-6636
Phone number: 850-362-6495
Mailing Address
-- TRACI JOHNSON PTA
2000 PRINCIPAL LN
FORT WALTON BEACH, FL 32547-6636
Phone number: 850-362-6495
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