Individual
MR. PHILLIP ANDREW JOHANNESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8502 N NEVADA ST # 2, SPOKANE, WA 99208-7395
(509) 464-4970
Mailing address
711 E WESTCREST RD, COLBERT, WA 99005-8724
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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