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Individual

MS. TOMI LEIGH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR, LMP

Contact information

Practice address
17700 SE 272ND ST STE 110, COVINGTON, WA 98042-4951
(253) 372-7030
Mailing address
23425 SE 250TH PL, MAPLE VALLEY, WA 98038-7941
(425) 679-2727

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00013993
WA
225X00000X
Occupational Therapist
Primary
OT60276076
WA

Other

Enumeration date
03/05/2012
Last updated
12/11/2014
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