Individual
MAUREEN S. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00002741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255789
LABOR AND INDUSTRIES
WA
05
—
8559346
—
WA
Enumeration date
12/14/2005
Last updated
08/08/2013
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