MR. WAYNE JOHNSON, PTA, CCI

Physical Therapy Assistant

Active Individual
NPI: 1720096241

Practice Address

11050 MT BELVEDERE BLVD
USA MEDDAC /CREDENTIALS
Fort Drum, NY 13602

Phone: (315) 772-4025

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 004281 (NY)

Frequently Asked Questions

NPI 1720096241 is the National Provider Identifier for MR. WAYNE JOHNSON, PTA, CCI, a Physical Therapy Assistant provider located in Fort Drum, NY. This NPI was enumerated on August 3, 2006.
MR. WAYNE JOHNSON, PTA, CCI practices at 11050 MT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS, Fort Drum, NY 13602.

Quick Facts

NPI
1720096241
Type
Individual
Enumerated
Aug 3, 2006
Last Updated
Jul 8, 2007

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