NPI 1417075821

Theresa B Johnson, PTA

Practitioner Physical Therapy Assistant Petersburg, VA

Practice location

Address: 46 Diamond Dr Dinwidie Health and Rehab Ctr, Petersburg, VA 23803-7495
Phone: (804) 861-1324
Mailing address: 5203 Kimmeridge Loop, Moseley, VA 23120-1593

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306602738 (VA)

Other Physical Therapy Assistant providers in Virginia →

Registry record

NPI: 1417075821
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2007
Record last updated: 1 Jul 2010

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.