GILISSA JOHNSON

LAKE RIDGE, VA
NPI1346706546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305213488)
Enumeration Date2019-02-13
Last Update Date2023-03-16
Business Address
GILISSA JOHNSON
12825 MINNIEVILLE RD
LAKE RIDGE, VA 22192-3601
Phone number: 703-971-3701
Mailing Address
GILISSA JOHNSON
20410 CENTURY BLVD STE 215
GERMANTOWN, MD 20874-1187
Phone number: 240-731-9641
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