Johnson, Theresa B

Johnson, Theresa B is an sole proprietor health care provider with primary practice located at 46 Diamond Dr Dinwidie Health And Rehab Ctr, Petersburg VA 23803-7495. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johnson, Theresa B can be contacted via phone (804) 861-1324.

Contact Information

Primary practice address
46 Diamond Dr Dinwidie Health And Rehab Ctr Petersburg VA 23803-7495
Phone: (804) 861-1324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2306602738 Virginia

Profile Details

NPI number 1417075821
LBN Legal business name Johnson, Theresa B
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417075821 NPPES
Virginia Other 2306602738 PTA

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