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Individual

MRS. ELISABETH COURTENAY JOHNSON

Active
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Individual

MRS. ELISABETH COURTENAY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 00007717
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18667
TPS EMPLOYEE ID
WA
Enumeration date
10/03/2012
Last updated
10/03/2012
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