STEPHANIE MICHAELA JOHNSON

PUEBLO, CO
NPI1891268900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  PTL.0016171)
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
STEPHANIE MICHAELA JOHNSON
1321 S PRAIRIE AVE
PUEBLO, CO 81005-2307
Phone number: 719-597-0822
Mailing Address
STEPHANIE MICHAELA JOHNSON
14 DOUGLAS LN
PUEBLO, CO 81001-4606
Phone number: 719-582-0580
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