Individual
JOHANNA LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144-2712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60740919
WA
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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