Individual
ALYSSA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 NY-430, GREENHURST, NY 14742
(716) 483-5000
Mailing address
1261 CENTRAL BELLE VILLAGE DR, ERIE, PA 16509-7617
(607) 215-3402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010539
NY
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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