Individual
DEREK ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
19321 MOUNTAIN HWY E STE 100, SPANAWAY, WA 98387-8450
(253) 846-8126
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 581-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61344012
WA
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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