Individual
SADIE HEATHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 26304
(757) 314-7666
Mailing address
187 HERMAN MELVILLE AVE, NEWPORT NEWS, VA 23606-1378
(815) 674-0514
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602698
VA
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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