Provider Demographics
NPI:1649599846
Name:JOHNSON, AIMEE DANIELLE (PT, OT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:DANIELLE
Last Name:JOHNSON
Suffix:
Gender:
Credentials:PT, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 HEATHLAND TRL
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-3660
Mailing Address - Country:US
Mailing Address - Phone:240-343-4144
Mailing Address - Fax:
Practice Address - Street 1:503 HEATHLAND TRL
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-3660
Practice Address - Country:US
Practice Address - Phone:240-343-4144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24984225100000X
MD06915225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist