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1801567904
JOHANNA A WILSON
FREDERICKSBURG, VA
NPI
1801567904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
MRS. JOHANNA A WILSON PTA
60 BRIMLEY DR
FREDERICKSBURG, VA 22406-5148
Phone number: 540-369-6458
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Mailing Address
MRS. JOHANNA A WILSON PTA
1402 FORBES ST
FREDERICKSBURG, VA 22405-1419
Phone number: 703-973-1583
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