Individual
GAIL MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
(301) 668-2202
Mailing address
5506 BOOTJACK DR, FREDERICK, MD 21702-2306
(301) 631-2185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19640
MD
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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