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NPI Code Detail

MEDICARE: AMY JO JOHNSON PT

MEDICARE: AMY JO JOHNSON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT018120PA

General Provider Information

NPI Number : 1982635827
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY JO JOHNSON PT
Provider Business Mailing Address
First Line : 248 S ATLANTIC AVE
Second Line : APT 2
City : PITTSBURGH
State : PA
Zip : 15224-1707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2075 GOLDEN MILE HWY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15239-2839
Country : US
Telephone Number : 724-325-1270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 07/08/2007

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Directions to “ AMY JO JOHNSON PT” Practice Location

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