Individual
MS. MIA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2321 1ST ST NW, BASEMENT, WASHINGTON, DC 20001-1017
(202) 489-7260
(202) 232-0394
Mailing address
2321 1ST ST NW, WASHINGTON, DC 20001-1017
(202) 232-9177
(202) 232-0394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
767002669
DC
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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