Provider Demographics
NPI:1033492814
Name:JOHNS, PAIGE MARIE (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:MARIE
Last Name:JOHNS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13160 FLYNN CT
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-1759
Mailing Address - Country:US
Mailing Address - Phone:703-932-9317
Mailing Address - Fax:
Practice Address - Street 1:13160 FLYNN CT
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1759
Practice Address - Country:US
Practice Address - Phone:703-932-9317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119001536225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation