Individual
PAULA R. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
51657 US HIGHWAY 93, POLSON, MT 59860-6903
(406) 883-6863
(406) 883-6868
Mailing address
51657 US HIGHWAY 93, POLSON, MT 59860-6903
(406) 883-6863
(406) 883-6868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11110
MT
225100000X
Physical Therapist
PT00002011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174358
L&I
WA
Enumeration date
09/26/2006
Last updated
03/17/2018
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