Individual
ALEX JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2839 W KENNEWICK AVE # 550, KENNEWICK, WA 99336-2927
(509) 783-8977
Mailing address
6917 W GRANDRIDGE BLVD STE C, KENNEWICK, WA 99336-7737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P160546984
WA
Other
Enumeration date
04/21/2015
Last updated
04/22/2015
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