Individual
MRS. AMARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124-5932
(505) 896-4978
Mailing address
4516 ARROWHEAD RIDGE DR SE, RIO RANCHO, NM 87124-5932
(505) 896-4978
(505) 994-2842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5097
NM
Other
Enumeration date
07/27/2017
Last updated
10/14/2019
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