WALLACE DANNY JOHNSON III

HAMPTON, VA
NPI1316217516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: VA  0119003661)
Enumeration Date2012-01-04
Last Update Date2012-03-22
Business Address
Mr. WALLACE DANNY JOHNSON III MS OTR/L
100 EMANCIPATION DRIVE
HAMPTON, VA 23667
Phone number: 757-722-9961
Mailing Address
Mr. WALLACE DANNY JOHNSON III MS OTR/L
100 EMANCIPATION DRIVE
HAMPTON, VA 23667
Phone number: 757-722-9961
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