Individual
JUDITH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10430 214TH ST, QUEENS VILLAGE, NY 11429-1543
(718) 440-5889
Mailing address
10430 214TH ST, QUEENS VILLAGE, NY 11429-1543
(718) 440-5889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005857
NY
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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