Individual
ISSAC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9160 BELVOIR WOODS PKWY, FORT BELVOIR, VA 22060-2703
(703) 781-2447
Mailing address
1517 FULLER LN, VIRGINIA BEACH, VA 23455-4211
(757) 270-2658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09345
MD
225X00000X
Occupational Therapist
Primary
0119006655
VA
225X00000X
Occupational Therapist
09345
MD
Other
Enumeration date
08/28/2015
Last updated
04/14/2026
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