Johnson Iii, Wallace Danny

Johnson Iii, Wallace Danny is an individual health care provider with primary practice located at 100 Emancipation Drive , Hampton VA 23667. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Johnson Iii, Wallace Danny can be contacted via phone (757) 722-9961.

Contact Information

Primary practice address
100 Emancipation Drive Hampton VA 23667
Phone: (757) 722-9961
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0119003661 Virginia

Profile Details

NPI number 1316217516
LBN Legal business name Johnson Iii, Wallace Danny
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Mar 22nd, 2012 - about 13 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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