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1154673036
ELISABETH COURTENAY JOHNSON
TACOMA, WA
NPI
1154673036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: WA PT 00007717)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
Mrs. ELISABETH COURTENAY JOHNSON P.T.
1712 SOUTH 17TH STREET
TACOMA, WA 98405
Phone number: 253-571-4500
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Mailing Address
Mrs. ELISABETH COURTENAY JOHNSON P.T.
P.O. BOX 1357
TACOMA, WA 98401-1357
Phone number: 253-571-4500
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