Provider Demographics
NPI:1447577648
Name:JOHNSON, DANA LOUISE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:LOUISE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8625 W MARKHAM ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2312
Mailing Address - Country:US
Mailing Address - Phone:501-219-1829
Mailing Address - Fax:501-332-3180
Practice Address - Street 1:8625 W MARKHAM ST
Practice Address - Street 2:SUITE C
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2312
Practice Address - Country:US
Practice Address - Phone:501-219-1829
Practice Address - Fax:501-332-3180
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AR15012279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation