Johnson, Gwanetia M

Johnson, Gwanetia M is an individual health care provider with primary practice located at 2601 Forest Dr , Columbia SC 29204-2363. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johnson, Gwanetia M can be contacted via phone (803) 765-7127.

Contact Information

Primary practice address
2601 Forest Dr Columbia SC 29204-2363
Phone: (803) 765-7127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1960 South Carolina

Profile Details

NPI number 1023152543
LBN Legal business name Johnson, Gwanetia M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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