| NPI | 1528068533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M JOHNSON Director/Physical Therapist 425-917-9885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009793) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2020-08-22 |