Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
303 MAPLE AVE W, SUITE F, VIENNA, VA 22180-4312
(703) 272-8801
Mailing address
303 MAPLE AVENUE WEST, SUITE F, VIENNA, VA 22180
(703) 272-8801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209427
VA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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