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Paul T Johnson

Physical Therapist in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1720208317
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720208317
Entity type
Individual (NPI-1)
Name
Mr. Paul T Johnson
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 26, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT12496CAYes

Other names

  • Paul T Johnson (Professional Name)

Practice location

3033 Cleveland Ave
205
Santa Rosa, CA 95403-2126

Phone 707-542-8313

Mailing address

3033 Cleveland Ave
205
Santa Rosa, CA 95403-2126

Phone 707-542-8313

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