Individual
MRS. JOHNITA ANTONETTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21 WILLIES LN, STAFFORD, VA 22554-2832
(703) 622-1596
Mailing address
21 WILLIES LN, STAFFORD, VA 22554-2832
(703) 622-1596
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0019015637
VA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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