Provider Demographics
NPI:1629360581
Name:HARRIS-JOHNSON, AFRICA JOANALENE (DPT)
Entity Type:Individual
Prefix:DR
First Name:AFRICA
Middle Name:JOANALENE
Last Name:HARRIS-JOHNSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:AFRICA
Other - Middle Name:JOANALENE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3533 DUNN RD STE 232
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-6761
Mailing Address - Country:US
Mailing Address - Phone:314-839-0002
Mailing Address - Fax:314-839-5994
Practice Address - Street 1:617 N STATE ST
Practice Address - Street 2:
Practice Address - City:CLARKSDALE
Practice Address - State:MS
Practice Address - Zip Code:38614-6517
Practice Address - Country:US
Practice Address - Phone:662-247-1254
Practice Address - Fax:662-624-8101
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021050381225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist