Individual
MR. IAN ALAN JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2110 116TH AVE NE, SUITE D, BELLEVUE, WA 98004
(206) 734-9033
(425) 449-8298
Mailing address
2110 116TH AVE NE, SUITE D, BELLEVUE, WA 98004
(206) 734-9033
(425) 449-8298
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00009108
WA
Other
Enumeration date
11/21/2006
Last updated
03/04/2015
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