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Individual

KIMBERLY ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
625 SW RAMSEY, SUITE B, GRANTS PASS, OR 97527
(541) 476-1919
(541) 476-1920
Mailing address
625 SW RAMSEY AVE, SUITE B, GRANTS PASS, OR 97527-5808
(541) 476-1919
(541) 476-1920

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5674
OR

Other

Enumeration date
06/25/2008
Last updated
01/10/2011
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