Diane M Johnson
Diane M Johnson is a Physical Therapist in McComb, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
206 Maryland AveMcComb, MS 39648-3926
Phone: (601) 250-4815
Fax: (601) 250-6859
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT1456 (MS) |
|---|
Record details
| NPI number | 1497966139 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 955, Pelahatchie, MS 39145-0955 |
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Mr. Bert Sinclair Haydel, RPT
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206 Maryland Ave, McComb, MS 39648-3926 · (601) 250-4815