Doctor Name: | MRS. MARIA LANA JOHNSTON |
NPI Number: | 1033249081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5705 |
Business Practice Address: | 107 Sportsman Club Rd Ne Milledgeville, GA - 310618787 |
Business Phone Number: | 4784530041 |
Business Fax Number: | 4784533498 |
Mailing Address: | 200 Old Country Club Rd Ne, MILLEDGEVILLE |
State: | GA |
Postal Code: | 310617931 |
Phone Number: | 4784141986 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |