Samara Daeva Joy Johnson, ATC
NPI #1225673551 in Churchville, New York
Provider Information
- NPI Number
- 1225673551
- Entity Type
- Individual
- Name
- Samara Daeva Joy Johnson, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Jul 10, 2020
Practice Location
- Address
- 15 ROYCE DR
- City
- Churchville
- State
- New York
- ZIP Code
- 14428-8900
- Phone
- (716) 986-3193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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