Individual
MRS. EMILY CLARK JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
2929 LONDON BLVD, PORTSMOUTH, VA 23707-3405
(757) 397-1201
(757) 398-0809
Mailing address
PO BOX 7429, PORTSMOUTH, VA 23707-0429
(757) 397-1201
(757) 398-0809
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305004088
VA
Other
Enumeration date
06/08/2005
Last updated
07/08/2007
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