Miss Jordyn Catherine Johnson, PT, DPT | |
10825 Kanis Rd Ste 300, Little Rock, AR 72211-3802 | |
(501) 420-3884 | |
Not Available |
Full Name | Miss Jordyn Catherine Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 10825 Kanis Rd Ste 300, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972231900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5155 (Arkansas) | Primary |
Provider Name | Arkansas Pelvic Health Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346877214 PECOS PAC ID: 6002235421 Enrollment ID: O20201020000984 |
Mailing Address | Practice Location Address |
---|---|
Miss Jordyn Catherine Johnson, PT, DPT 10825 Kanis Rd Ste 300, Little Rock, AR 72211-3802 Ph: () - | Miss Jordyn Catherine Johnson, PT, DPT 10825 Kanis Rd Ste 300, Little Rock, AR 72211-3802 Ph: (501) 420-3884 |
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