Meredith Johnson

NPI #1083001705 in Medford, New York

Provider Information

NPI Number: 1083001705
Entity Type: Individual
Name: Meredith Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 21, 2015
Last Updated: Nov 15, 2016

Practice Location

Address: 55 AUGUSTA DR
City: Medford
State: New York
ZIP Code: 11763-2406
Phone: (631) 875-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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