THERESA B JOHNSON

PETERSBURG, VA
NPI1417075821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602738)
Enumeration Date2007-03-26
Last Update Date2010-07-01
Business Address
-- THERESA B JOHNSON PTA
46 DIAMOND DR DINWIDIE HEALTH AND REHAB CTR
PETERSBURG, VA 23803-7495
Phone number: 804-861-1324
Mailing Address
-- THERESA B JOHNSON PTA
5203 KIMMERIDGE LOOP
MOSELEY, VA 23120-1593
Phone number: 804-739-3207