Individual
JENNIFER LAURA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30302 NE WALMER RD, RIDGEFIELD, WA 98642-8769
(541) 514-5570
Mailing address
30302 NE WALMER RD, RIDGEFIELD, WA 98642-8769
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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