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Individual

MS. ALICE WESSELS JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 752-1682
Mailing address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 752-1682

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19258
CA

Other

Enumeration date
01/31/2007
Last updated
09/23/2014
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