| NPI | 1851880884 |
|---|---|
| Former Name | JEIA RAIN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AR 4573) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-03-23 |