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1154888006
FRED ALLEN JOHNSON
FREDERICKSBURG, VA
NPI
1154888006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 23O6603133)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
FRED ALLEN JOHNSON PTA
140 BRIMLEY DR
FREDERICKSBURG, VA 22406-5103
Phone number: 540-752-0001
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Mailing Address
FRED ALLEN JOHNSON PTA
1 KING GEORGE CV
RUTHER GLEN, VA 22546-5132
Phone number: 804-448-9618
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