Theresa B Johnson, PTA
NPI #1417075821 in Petersburg, Virginia
Provider Information
- NPI Number
- 1417075821
- Entity Type
- Individual
- Name
- Theresa B Johnson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Jul 1, 2010
Practice Location
- Address
- 46 DIAMOND DR
- Address 2
- DINWIDIE HEALTH AND REHAB CTR
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-7495
- Phone
- (804) 861-1324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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