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Individual
COURTNEY JOHNSON
Active
Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302389
CA
225100000X
Physical Therapist
61363
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692710
—
OR
Enumeration date
09/16/2015
Last updated
03/15/2024
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