NPI 1114741865

Tegan Johnson, PTA

Practitioner Physical Therapy Assistant Wilsonville, OR

Practice location

Address: 9126 SW Ridder Rd, Wilsonville, OR 97070-6766
Phone: (503) 840-4209
Fax: (503) 715-4438

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8710 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1114741865
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2024
Record last updated: 11 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.