Organization
ADVANTAGE PHYSICAL THERAPY & SPORTS PERFORMANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MARSHALL JOHNSON DPT (PRESIDENT/OWNER)
(540) 434-1200
Entity
Organization
Contact information
Practice address
381 LUCY DR, A, HARRISONBURG, VA 22801-8050
(540) 434-1200
(540) 434-1203
Mailing address
381 LUCY DR, A, HARRISONBURG, VA 22801-8050
(540) 434-1200
(540) 434-1203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
VA
225X00000X
Occupational Therapist
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192959
ANTHEM BLUE CROSS/BLUE SH
VA
Enumeration date
07/28/2006
Last updated
08/31/2010
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