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1083001705
MEREDITH JOHNSON
MEDFORD, NY
NPI
1083001705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 038099)
Enumeration Date
2015-04-21
Last Update Date
2016-11-15
Business Address
-- MEREDITH JOHNSON
55 AUGUSTA DR
MEDFORD, NY 11763-2406
Phone number: 631-875-2222
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Mailing Address
-- MEREDITH JOHNSON
55 AUGUSTA DR
MEDFORD, NY 11763-2406
Phone number: 631-875-2222
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