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1114741865
TEGAN JOHNSON
WILSONVILLE, OR
NPI
1114741865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8710)
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
TEGAN JOHNSON PTA
9126 SW RIDDER RD
WILSONVILLE, OR 97070-6766
Phone number: 503-840-4209
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Mailing Address
TEGAN JOHNSON PTA
9126 SW RIDDER RD
WILSONVILLE, OR 97070-6766
Phone number: 503-840-4209
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