NPI 1083814503

Laneatra Danette Johnson, PTA

Practitioner Physical Therapy Assistant Williamsburg, VA

Practice location

Address: 5500 Williamsburg Landing Dr, Williamsburg, VA 23185-8079
Phone: (757) 258-2178
Mailing address: 1010 Penniman Rd, Williamsburg, VA 23185-5416

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306602180 (VA)

Other Physical Therapy Assistant providers in Virginia →

Registry record

NPI: 1083814503
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2007
Record last updated: 23 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.