Provider Demographics
NPI:1427110535
Name:JOHNSON, KARIE ANN (ATC)
Entity type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:ANN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 DALMATION PL
Mailing Address - Street 2:T3
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1618
Mailing Address - Country:US
Mailing Address - Phone:352-514-8562
Mailing Address - Fax:
Practice Address - Street 1:658 BOULTON ST
Practice Address - Street 2:SUITE A
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4214
Practice Address - Country:US
Practice Address - Phone:410-638-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer