Tegan Johnson, PTA
NPI #1114741865 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1114741865
- Entity Type
- Individual
- Name
- Tegan Johnson, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 11, 2024
- Last Updated
- Nov 11, 2024
Practice Location
- Address
- 9126 SW RIDDER RD
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-6766
- Phone
- (503) 840-4209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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