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Organization
PELVIC REHAB SPECIALISTS
Active
Organization
PELVIC REHAB SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL G. JOHNSON DPT (CEO)
(253) 840-6448
Entity
Organization
Contact information
Practice address
3015 LIMITED LN NW, SUITE B, OLYMPIA, WA 98502-2638
(360) 709-0700
(360) 709-0703
Mailing address
PO BOX 2170, SUMNER, WA 98390-0480
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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