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PAMELA JOHNSON PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1023111465
Individual Registrant: PAMELA JOHNSON PT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1 BLACKFIELD DR BELVEDERE TIBURON, CA 94920-2053 US
Tel: 415-435-4359 Fax: 949-757-2545
Tel: 415-435-4359 Fax: 949-757-2545
Contact information for business:
1 BLACKFIELD DR BELVEDERE TIBURON, CA 94920-2053 US
Tel: 415-435-4359 Fax: 949-757-2545
Tel: 415-435-4359 Fax: 949-757-2545
Registration Information:
NPI: 1023111465
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | PT16542 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
