Shirley Mae Johnson P.T.

NPI 1487815262 - Physical Therapist - 225100000X

NPI Details
NPI 1487815262
Gender Female
Enumeration Date 06/24/2008
Last Updated 06/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1500 3RD AVE
LONGVIEW WA, 98632-3229, US
Phone (360) 423-8800
Fax
Business Location
7508 OLD PACIFIC HWY N
CASTLE ROCK WA, 98611-8925, US
Phone (360) 274-6275
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 2149
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According to our database, Shirley Mae Johnson P.T. NPI is 1487815262, taxonomy code is 225100000X and license number is 2149, license state is located at Oregon. Shirley Mae Johnson P.T. physically located at 1500 3rd Ave, Longview WA, 98632-3229. NPI Number Shirley Mae Johnson P.T. has the Individual type.

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1487815262 NPI number is provided on an as is basis without warranty of any kind. 1487815262 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Mae Johnson P.T. are for informational purposes only.