Individual
MARILYNNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
67 LINCOLN ST, ESSEX JUNCTION, VT 05452-3235
(802) 878-9513
(802) 878-9513
Mailing address
PO BOX 805, RICHMOND, VT 05477-0805
(802) 878-9513
(802) 878-9962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0001066
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002684
—
VT
Enumeration date
11/22/2005
Last updated
01/09/2024
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