Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20347 TIMBERLAKE RD STE B, LYNCHBURG, VA 24502-7352
(434) 845-9053
(434) 528-2788
Mailing address
20347 TIMBERLAKE RD STE B, LYNCHBURG, VA 24502-7352
(434) 845-9053
(434) 528-2788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604567
VA
225200000X
Physical Therapy Assistant
2364
SC
Other
Enumeration date
07/30/2009
Last updated
08/25/2021
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