Individual
MS. ANNIE BAKER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
808 RIVER ROAD, HENRICO, NC 27842-0344
(252) 537-9167
Mailing address
PO BOX 344, HENRICO, NC 27842-0344
(252) 537-9167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1263
NC
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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