Individual
MS. MEGAN A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16 W DIVISION ST, NORTH EAST, PA 16428-1008
(814) 725-6111
(814) 725-6373
Mailing address
61973 STATE ROUTE 415, COHOCTON, NY 14826-9688
(814) 725-6111
(814) 725-6373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
PA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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