Individual
WANDA SUE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16292 PORTERFIELD HWY, ABINGDON, VA 24210-8474
(276) 701-2406
Mailing address
16292 PORTERFIELD HWY, ABINGDON, VA 24210-8474
(276) 701-2406
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0131000223
VA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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