Individual
MYRIAM GABRIELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9399
(304) 429-6741
Mailing address
1540 SPRING VALLEY DR, HUNTINGTON, WV 25704-9399
(304) 429-6741
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2479
WV
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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