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Anita Johnson, PTA
NPI 1942458344 · on the registry since 2008
Practice
- Address
- 700 Knuckolls Ave
Bolivar, TN 38008 - Phone
- (731) 658-4707
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-28
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 Tennessee