FRED ALLEN JOHNSON

FREDERICKSBURG, VA
NPI1154888006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  23O6603133)
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
FRED ALLEN JOHNSON PTA
140 BRIMLEY DR
FREDERICKSBURG, VA 22406-5103
Phone number: 540-752-0001
Mailing Address
FRED ALLEN JOHNSON PTA
1 KING GEORGE CV
RUTHER GLEN, VA 22546-5132
Phone number: 804-448-9618