Individual
MS. CYNTHIA J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187835
BLUE CROSS BLUE SHIELD
VA
01
—
292744
AMERIGROUP
VA
Enumeration date
01/04/2007
Last updated
07/08/2007
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