Individual
MS. BALJIT KAUR JOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6214 SE MILWAUKIE AVE, PORTLAND, OR 97202-5417
(971) 202-7174
Mailing address
2717 SW HUME CT, PORTLAND, OR 97219-3926
(971) 202-7174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06870
OR
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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