Individual
MRS. PATRICIA D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16159 PARKSIDE WAY SE, RENTON, WA 98058-4223
(206) 794-3470
Mailing address
16159 PARKSIDE WAY SE, RENTON, WA 98058-4223
(206) 794-3470
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60240608
WA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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