Individual
JOANN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1320 W MAIN ST, BLDG 2, WATERBURY, CT 06708
(203) 755-9355
(203) 597-8192
Mailing address
1320 W MAIN ST, BLDG 2, WATERBURY, CT 06708
(203) 755-9355
(203) 597-8192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004478
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024801
HEALTH NET ORTHONET
—
01
—
004383
US HEALTH CARE
—
01
—
080004478CT06
ANTHEM BCBS OF CT
CT
01
—
0V1830
HEALTH NET
—
01
—
24801
CIGNA ORTHONET
—
01
—
6248766001
CIGNA
—
01
—
ANC758
OXFORD
—
Enumeration date
10/17/2006
Last updated
07/08/2007
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