Most Relevant Information
Provider Data
| NPI Number: | 1003434200 |
| Provider Name: | ANGELA MARIA JOHNSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA1272 |
Most Important Dates
| Enumeration Date: | 07/14/2020 |
| Last Updated: | 07/14/2020 |
Provider Practice Location
1909 HINSON LOOP RD STE 100
LITTLE ROCK
AR
722123903
Practice Location Phone/Fax
| Phone: | 5013014530 |
| Fax: | 5012511165 |
Provider Mailing Location
1909 HINSON LOOP RD STE 100
LITTLE ROCK
AR
722123903
Provider Mailing Phone/Fax
| Phone: | 5013014530 |
| Fax: | 5012511165 |