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1851314785
DAVID MATTHEW JOHNSON
THAYNE, WY
NPI
1851314785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY 1167)
Enumeration Date
2006-07-25
Last Update Date
2012-12-12
Business Address
Mr. DAVID MATTHEW JOHNSON MSPT
124 PETERSEN PARKWAY #6 SUITE 1
THAYNE, WY 83127
Phone number: 307-883-7878
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Mailing Address
Mr. DAVID MATTHEW JOHNSON MSPT
124 PETERSEN PARKWAY #6
THAYNE, WY 83127
Phone number: 307-883-9632
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