| NPI | 1720489255 |
|---|---|
| Former Name | PAUL RPY JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60493361) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 60762) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-09-16 |