Johanna A Wilson, PTA
Physical Therapy Assistant in Fredericksburg, VA. Individual provider (NPI-1).
NPI number1801567904
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1801567904
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Johanna A Wilson
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2021
- Certification date
- Sep 28, 2021
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
60 Brimley DrFredericksburg, VA 22406-5148
Phone 540-369-6458
Mailing address
1402 Forbes StFredericksburg, VA 22405-1419
Phone 703-973-1583
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All 80 Physical Therapy Assistant providers in Fredericksburg · All 4,989 providers in Fredericksburg
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