Gwanetia M Johnson
Physical Therapy Assistant
2601 Forest Dr
Columbia
, South Carolina 29204-2363
Gwanetia M Johnson
Physical Therapy Assistant
2601 Forest Dr
Columbia
, South Carolina 29204-2363
(803) 238-8788
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Gwanetia M Johnson
- 504 Cambout St
- Columbia, SC
- Zip : 29210-7121
- Phone : (803) 238-8788
Second Address
- Gwanetia M Johnson
- 2601 Forest Dr
- Columbia, SC
- Zip : 29204-2363
- Phone : (803) 765-7127
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 1960 | SC |
National Provider Identifier
| NPI | 1023152543 |
|---|---|
| Provider Name | Gwanetia M Johnson |
| First Address | Columbia, SC 29210-7121 |
| Second Address | Columbia, SC 29204-2363 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.