Individual
MEGAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3886 ELEANOR DR, MOHEGAN LAKE, NY 10547-1025
(845) 803-0271
Mailing address
3886 ELEANOR DR, MOHEGAN LAKE, NY 10547-1025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006605
NY
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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