Mary W Johnson
Physical Therapist
665 Gaines School Rd
Athens
, Georgia 30605-3127
Mary W Johnson
Physical Therapist
665 Gaines School Rd
Athens
, Georgia 30605-3127
(706) 369-8115
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mary W Johnson
- 665 Gaines School Rd
- Athens, GA
- Zip : 30605-3127
- Phone : (706) 369-8115
Second Address
- Mary W Johnson
- 665 Gaines School Rd
- Athens, GA
- Zip : 30605-3127
- Phone : (706) 369-8115
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT006469 | GA |
National Provider Identifier
| NPI | 1003060666 |
|---|---|
| Provider Name | Mary W Johnson |
| First Address | Athens, GA 30605-3127 |
| Second Address | Athens, GA 30605-3127 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2008 |
| Last Update Date | 10/11/2008 |
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.