Individual
MS. BRENDA K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13305 BROADWAY ST, ALDEN, NY 14004-1324
(716) 937-4577
Mailing address
845 SUMNER RD, DARIEN CENTER, NY 14040-9711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
019746
NY
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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