Individual
JUAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
75 N CENTRAL AVE STE 201, ELMSFORD, NY 10523-2537
(914) 774-8157
Mailing address
21 ORCHARD RD, POUGHKEEPSIE, NY 12603-6501
(929) 360-9458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011880-1
NY
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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