MICHAEL P JOHANSON

NAMPA, ID
NPI1710010772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT2163)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
-- MICHAEL P JOHANSON MPT
217 W GEORGIA AVENUE
NAMPA, ID 83686
Phone number: 208-463-3000
Mailing Address
-- MICHAEL P JOHANSON MPT
217 W GEORGIA SUITE 115
NAMPA, ID 83686
Phone number: 208-463-3000
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