Organization
ADVANTAGE PHYSICAL THERAPY & SPORTS PERFORMANCE, P.C.
Active
Organization
ADVANTAGE PHYSICAL THERAPY & SPORTS PERFORMANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M. JOHNSON PT, DPT, OCS (PRESIDENT/OWNER)
(540) 434-1200
Entity
Organization
Contact information
Practice address
54 FRANKLIN ST, VILLAGE SQUARE PLAZA, WEYERS CAVE, VA 24486-2340
(540) 234-8800
(540) 234-8939
Mailing address
54 FRANKLIN ST, VILLAGE SQUARE PLAZA, WEYERS CAVE, VA 24486-2340
(540) 234-8800
(540) 234-8939
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294391
ANTHEM
VA
01
—
299393
ANTHEM OT
VA
Enumeration date
02/20/2007
Last updated
08/05/2010
Update your record
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