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Katherine Johnson, PTA
NPI 1033463393 · on the registry since 2012
Practice
- Address
- 320 N Ruby Ln
Fairview Heights, IL 62208 - Phone
- (618) 394-9798
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois