Individual
KEWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 CEDAR AVE S, NORTH BEND, WA 98045-8262
(425) 888-2129
Mailing address
PO BOX 591, ISSAQUAH, WA 98027-0022
(425) 888-0670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PI 60031545
WA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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