Individual
MRS. JOANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2579 JOHN MILTON DR, SUITE 120, HERNDON, VA 20171-2563
(703) 860-2346
(703) 860-2348
Mailing address
2579 JOHN MILTON DR, SUITE 120, HERNDON, VA 20171-2563
(703) 860-2346
(703) 860-2348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601621
VA
Other
Enumeration date
10/17/2010
Last updated
10/17/2010
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