Individual
MS. CONNIE COLLINS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14516 S HILLS CT, CENTREVILLE, VA 20120-1353
(703) 830-6354
Mailing address
14516 S HILLS CT, CENTREVILLE, VA 20120-1353
(703) 830-6354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004645
VA
Other
Enumeration date
08/18/2007
Last updated
08/18/2007
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