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1538718473
STEPHANIE JOHNSON
WATERBURY, CT
NPI
1538718473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 2004)
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
STEPHANIE JOHNSON PTA
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-598-0600
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Mailing Address
STEPHANIE JOHNSON PTA
22 TOMPKINS ST
WATERBURY, CT 06708-1458
Phone number: 203-598-0600
Copy
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