Individual
STEPHANIE JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 19TH ST NW, WASHINGTON, DC 20036-3701
(202) 861-0512
Mailing address
181 UHLAND TER NE, WASHINGTON, DC 20002-1321
(240) 394-2279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT872612
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2019
Last updated
11/27/2023
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