Individual
AMY R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2500 NESCONSET HWY, BUILDING 22B, STONY BROOK, NY 11790-2555
(631) 751-7988
Mailing address
88 AVALON CIR, SMITHTOWN, NY 11787-3867
(402) 770-4995
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
029480
NY
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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