Jacqlene Johnson

NPI 1801476296 · on the registry since 2021 · sole proprietor

Practice

Address: 224 Beach 20th St
Far Rockaway, NY 11691
Phone: (347) 926-4037
Organisation at this address: David Gordon Dpm Pc
Ameristar Home Care Services, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physical Therapist
225100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-04-10

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