Individual
AMY M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N MOUNTAIN RD, SUITE A212, NEWINGTON, CT 06111-1412
(860) 953-0676
Mailing address
705 N MOUNTAIN RD, SUITE A212, NEWINGTON, CT 06111-1412
(860) 953-0676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002519
CT
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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