Individual
ALICIA BLACKHAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4125 IRONBOUND RD STE 101, WILLIAMSBURG, VA 23188-2666
(757) 220-8383
Mailing address
9928 MOUNTAIN BERRY CT, TOANO, VA 23168-9616
(702) 994-6790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11099512-2401
UT
225100000X
Physical Therapist
Primary
2305212681
VA
Other
Enumeration date
05/30/2019
Last updated
04/17/2026
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