Carly Johnson, PTA
NPI #1528545886 in Pullman, Washington
Provider Information
- NPI Number
- 1528545886
- Entity Type
- Individual
- Name
- Carly Johnson, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 19, 2018
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 2560 NE HOPKINS CT
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-5622
- Phone
- (206) 383-6182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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