Gilissa Johnson
NPI #1346706546 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1346706546
- Entity Type
- Individual
- Name
- Gilissa Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Feb 13, 2019
- Last Updated
- Mar 16, 2023
Practice Location
- Address
- 12825 MINNIEVILLE RD
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-3601
- Phone
- (703) 971-3701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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