Individual
JULIE A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 WALNUT ST, LOCKPORT, NY 14094
(716) 433-3506
Mailing address
122 WALNUT ST, LOCKPORT, NY 14094-3722
(716) 433-3506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021230
NY
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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