Individual
JENNIFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12825 MINNIEVILLE RD STE 201, LAKE RIDGE, VA 22192-3602
(571) 470-8776
Mailing address
12939 TAXI DR, WOODBRIDGE, VA 22193-6130
(703) 851-8697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
VA
Other
Enumeration date
09/04/2007
Last updated
02/16/2026
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