Individual
DR. ANELISA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2135 GENERAL BOOTH BLVD, BLVD #152, VIRGINIA BEACH, VA 23454-5881
(540) 597-3367
Mailing address
4439 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-3100
(757) 507-0015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210192
VA
Other
Enumeration date
05/13/2016
Last updated
11/25/2019
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