Jerry M Johnson Etal Ptr Four Seasons Physical Therapy
NPI #1245214543 in Spokane, Washington
Provider Information
- NPI Number
- 1245214543
- Entity Type
- Organization
- Organization Name
- Jerry M Johnson Etal Ptr Four Seasons Physical Therapy
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Dec 1, 2005
- Last Updated
- Dec 31, 2012
Practice Location
- Address
- 1111 W WELLESLEY AVE
- City
- Spokane
- State
- Washington
- ZIP Code
- 99205-1274
- Phone
- (509) 327-1578
Authorized Official
- Name
- MR. JERRY MICHAEL JOHNSON, PT
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (509) 327-1578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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