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Search › New York › 225200000X

Wayne Johnson, PTA, CCI

NPI 1720096241 · on the registry since 2006

Practice

Address
11050 Mt Belvedere Blvd
Usa Meddac /Credentials
Fort Drum, NY 13602
Phone
(315) 772-4025
Fax
(315) 772-9498
Organisation at this address
Bobbi Petranchuk
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York