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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA JOHNSON

Active Sole Proprietor

TARA JOHNSON is a Physical Therapist Assistant healthcare provider located in DUBLIN, Georgia. NPI 1275045098 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · DUBLIN, GA

Registration Details

NPI Number
1275045098
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2017 (8.8217388924955 yrs)
Last Updated
Nov 2, 2017
License
CO083413 (GA)
Sole Proprietor
Yes

Practice Information

Address
702 ACADEMY AVE STE B
DUBLIN, GA, 310214084
Browse GA providers · Browse ZIP 31021
Phone
4782783674
Primary Specialty
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.