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Individual

MISS CAROL ANN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
12844 MILITARY RD S, TUKWILA, WA 98168-3045
(206) 248-4639
Mailing address
7411 S 116TH ST, SEATTLE, WA 98178-3054
(206) 697-5452

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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