Individual
ALYSSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
860 OMNI BLVD STE 103, NEWPORT NEWS, VA 23606-4430
(757) 223-9403
Mailing address
860 OMNI BLVD STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0014111
CO
225100000X
Physical Therapist
Primary
2305211792
VA
Other
Enumeration date
08/28/2016
Last updated
05/10/2018
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