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1518481142
RYAN JOHNSON
SALEM, OR
NPI
1518481142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 09531)
Enumeration Date
2017-07-26
Last Update Date
2017-07-26
Business Address
RYAN JOHNSON PTA
3445 BOONE RD SE
SALEM, OR 97317-9336
Phone number: 503-576-3000
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Mailing Address
RYAN JOHNSON PTA
4075 AERIAL WAY APT 49
EUGENE, OR 97402-8730
Phone number: 541-908-5768
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