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Individual

LEVI R JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T

Contact information

Practice address
3001 R AVE, SUITE 110, ANACORTES, WA 98221-4602
(360) 299-2781
(360) 299-3038
Mailing address
3001 R AVE, SUITE 110, ANACORTES, WA 98221-4602
(360) 299-2781
(360) 299-3038

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT60691763
WA

Other

Enumeration date
11/30/2016
Last updated
11/30/2016
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