Individual
ANASTASIA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
75 JONES AND GIFFORD AVE, JAMESTOWN, NY 14701-2828
(716) 720-7182
Mailing address
215 EDDY ST, WARREN, PA 16365-2038
(716) 720-7182
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013059
NY
Other
Enumeration date
01/25/2023
Last updated
01/30/2023
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