NPI | 1871622100 |
---|---|
Other Name | TERRY JOHNSON-VANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VA 2305003957) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MD 16351) |
Enumeration Date | 2007-03-04 |
Last Update Date | 2007-07-09 |